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Emergency visit, high (level 4) at Okeene Municipal Hospital. CPT 99284.

What Okeene Municipal Hospital publishes for this service, straight from its standard-charges file, last updated August 12, 2026.

Outpatient / ER

$333cash price (self-pay)
$425list price
$62.40–$1,072range insurers pay
Insurance planNegotiated rate
Pref Community Choice PPO-All Plans | Pref Community Choice PPO-All Pl$112
BCBS Blue Preferred PPO | BCBS Blue Preferred PPO$129
BCBS Blue Adv PPO | BCBS Blue Adv PPO$133
BCBS Blue Choice PPO | BCBS Blue Choice PPO$137
BCBS Blue Traditional-All Other Plans | BCBS Blue Traditional-All Othe$174
Ihs-All Plans | Ihs-All Plans$202
Coventry Mcr Adv | Coventry Mcr Adv$225
Humana Mcr Adv | Humana Mcr Adv$225
Global Health Mcr Adv | Global Health Mcr Adv$225
UHC Mcr Adv | UHC Mcr Adv$225
Ok Complete Health Comm-All Other Plans | Ok Complete Health Comm-All $274
Medica Commercial-All Other Plans | Medica Commercial-All Other Plans$303
Healthcare Highways-All Plans | Healthcare Highways-All Plans$312
Medica Medicare | Medica Medicare$402
Triwest/Tricare BCBS | Triwest/Tricare BCBS$402
Aetna Better Health Mcaid | Aetna Better Health Mcaid$416
Humana Choicecare Mcaid | Humana Choicecare Mcaid$416
Ok Complete Health Mcaid | Ok Complete Health Mcaid$416
Cigna-All Plans | Cigna-All Plans$455
Humana-All Other Plans | Humana-All Other Plans$500
Healthchoice Ip Only-All Plans | Healthchoice Ip Only-All Plans$521
Global Health-All Other Plans | Global Health-All Other Plans$551
First Health Aetna-All Plans | First Health Aetna-All Plans$558
Phcs Savility/Multiplan - All Plans | Phcs Savility/Multiplan - All Pl$558
Coventry Health Aetna-All Other Plans | Coventry Health Aetna-All Othe$600
Aetna-All Other Plans | Aetna-All Other Plans$670
Community Care HMO-All Plans | Community Care HMO-All Plans$670
UHC All Payer - All Other Plans | UHC All Payer - All Other Plans$762
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All common services at Okeene Municipal Hospital