Emergency visit, high (level 4) at Mercy Hospital Logan County. CPT 99284.
What Mercy Hospital Logan County publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$295cash price (self-pay)
$532list price
$112–$694range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Lgn | $112 |
| Nhc Advantage Medicare Contracted [320282] | Hb Lgnok Managed Medicare | $112 |
| Qual Choice Contracted [320325] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Tribute Health Plan Mcr Contracted [320338] | Hb Lgnok Managed Medicar | $112 |
| United Healthcare Contracted [320396] | Hb Lgnok Managed Medicare 100% | $112 |
| Provider Partners Health Plans Contracted [320450] | Hb Lgnok Managed | $112 |
| Kindful Hospice Contracted [320434] | Hb Lgnok Managed Medicare 100% W | $112 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Lgnok Managed Med | $112 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Lgnok Managed Medicare 1 | $112 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Lgnok Managed Med | $112 |
| BCBS Medicare Advantage [20047] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Cross Timbers Hospice [20098] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Mental Health Network Medicare [20250] | Hb Lgnok Managed Medicare 100 | $112 |
| Medicare [20244] | Hb Lgnok Medicare | $112 |
| Independent Health [20197] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Health First Health Plans Medicare [20170] | Hb Lgnok Managed Medicare | $112 |
| Horizons Medicare [20190] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Medical Associates Health [20444] | Hb Lgnok Managed Medicare 100% W/S | $112 |
| Windsor Medicare [20424] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Mercy Hospice Okc [20252] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Halo Hcr Inc Hospice [20432] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Elara Caring Aspire Hospice [20433] | Hb Lgnok Managed Medicare 100% W | $112 |
| Kindful Hospice [20434] | Hb Lgnok Managed Medicare 100% W/Seq | $112 |
| Indian Health Service Contracted [320198] | Hb Lgnok Managed Medicare | $112 |
| Humana Medicare Advantage Contracted [320194] | Hb Lgnok Managed Medic | $112 |
| Medica Medicare Advantage Contracted [320477] | Hb Lgnok Medica Medica | $115 |
| Medica Medicare Advantage [20477] | Hb Lgnok Medica Medicare New 03152 | $115 |
| Devoted Health Medicare Contracted [320500] | Hb Lgnok Devoted Health | $115 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Lgnok Cigna M | $116 |
| Blue Cross And Blue Shield [20053] | Hb Lgnok BCBS Of Ok Nativeblue Mc | $118 |
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