Emergency visit, high (level 4) at Mercy Hospital Oklahoma City. CPT 99284.
What Mercy Hospital Oklahoma City publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$2,433cash price (self-pay)
$3,743list price
$51.00–$4,590range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare [20380] | Hb Oklc Managed Medicare | $366 |
| Provider Partners Health Plans Contracted [320450] | Hb Oklc Managed M | $386 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Okl | $386 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Oklc Indian Healt | $386 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Oklc Managed Medicare | $386 |
| Essence Healthcare Medicare Contracted [320122] | Hb Oklc Managed Medi | $386 |
| Kindful Hospice [20434] | Hb Oklc Managed Medicare | $386 |
| Elara Caring Aspire Hospice [20433] | Hb Oklc Managed Medicare | $386 |
| Halo Hcr Inc Hospice [20432] | Hb Oklc Managed Medicare | $386 |
| BCBS Medicare Advantage Contracted [320047] | Hb Oklc Managed Medicare | $386 |
| Aetna Medicare Advantage Contracted [320010] | Hb Oklc Aetna Mcr | $386 |
| Aetna Medicare Advantage Contracted [320010] | Hb Oklc Managed Medicar | $386 |
| Generic Medicare Managed Care [20137] | Hb Oklc Managed Medicare | $386 |
| Cross Timbers Hospice [20098] | Hb Oklc Managed Medicare | $386 |
| Champva [20065] | Hb Oklc Managed Medicare | $386 |
| Medicare [20244] | Hb Oklc Medicare | $386 |
| Mercy Hospice Okc [20252] | Hb Oklc Managed Medicare | $386 |
| American Health Advantage Of Ok Medicare [20019] | Hb Oklc Managed Med | $386 |
| Longevity Health Plan [10477] | Hb Oklc Managed Medicare | $386 |
| BCBS Medicare Advantage [20047] | Hb Oklc Managed Medicare | $386 |
| Longevity Health Plan Medicare Contracted [320225] | Hb Oklc Managed M | $386 |
| Indian Health Service Contracted [320198] | Hb Oklc Indian Health Mcr | $386 |
| Humana Medicare Advantage Contracted [320194] | Hb Oklc Humana Mcr | $386 |
| Mercy Rehab Hospital Contracted [320260] | Hb Oklc Ok Rehab | $386 |
| Nhc Advantage Medicare Contracted [320282] | Hb Oklc Managed Medicare | $386 |
| Medica Medicare Advantage Contracted [320477] | Hb Oklc Medica Medicar | $393 |
| Medica Medicare Advantage [20477] | Hb Oklc Medica Medicare Eff 031523 | $393 |
| Globalhealth Contracted [320145] | Hb Oklc Global Health Mcr 102% | $394 |
| Globalhealth Medicare Advantage [20145] | Hb Oklc Managed Medicare | $394 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Oklc Cigna Mc | $398 |
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