Emergency visit, high (level 4) at Mercy Hospital Healdton. CPT 99284.
What Mercy Hospital Healdton publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$290cash price (self-pay)
$1,176list price
$112–$1,058range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Dept Of Veteran Affairs Contracted [320106] | Hb Hmh Managed Medicare | $112 |
| Essence Healthcare Medicare Contracted [320122] | Hb Hmh Managed Medic | $112 |
| Humana Contracted [320193] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Indian Health Service Contracted [320198] | Hb Hmh Managed Medicare 10 | $112 |
| Humana Medicare Advantage Contracted [320194] | Hb Hmh Managed Medicar | $112 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Hmh Managed Me | $112 |
| Independent Health [20197] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Cross Timbers Hospice [20098] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Health First Health Plans Medicare [20170] | Hb Hmh Managed Medicare 1 | $112 |
| Horizons Medicare [20190] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Tricare [20380] | Hb Hmh Tricare | $112 |
| Halo Hcr Inc Hospice [20432] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Windsor Medicare [20424] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Mercy Hospice Okc [20252] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Medicare [20244] | Hb Hmh Medicare | $112 |
| Mental Health Network Medicare [20250] | Hb Hmh Managed Medicare 100% | $112 |
| Arkansas Community Care Medicare [20035] | Hb Hmh Managed Medicare 100 | $112 |
| BCBS Medicare Advantage [20047] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Kindful Hospice [20434] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Elara Caring Aspire Hospice [20433] | Hb Hmh Managed Medicare 100% W/S | $112 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Hmh Managed Medic | $112 |
| BCBS Medicare Advantage Contracted [320047] | Hb Hmh Managed Medicare | $112 |
| Aetna Medicare Advantage Contracted [320010] | Hb Hmh Managed Medicare | $112 |
| Medical Associates Health [20444] | Hb Hmh Managed Medicare 100% W/Seq | $112 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Hmh | $112 |
| Medica Medicare Advantage [20477] | Hb Hmh Medica Medicare W/Seq New 0 | $115 |
| Globalhealth Contracted [320145] | Hb Hmh Globalhealth Mcr 102% W/Seq | $115 |
| Cigna Medicare Advantage Contracted [320072] | Hb Hmh Cigna Mcr 103% | $116 |
| Blue Cross And Blue Shield [20053] | Hb Hmh BCBS Of Ok Nativeblue Mcr | $118 |
| Home State Health Plan Contracted [320187] | Hb Hmh Ambetter Exchange | $155 |
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