Emergency visit, high (level 4) at Oklahoma Spine Hospital LLC. CPT 99284.
What Oklahoma Spine Hospital LLC publishes for this service, straight from its standard-charges file, last updated April 2, 2026.
Outpatient / ER
$150cash price (self-pay)
$460list price
$112–$532range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B OK JH | Default | $112 |
| Aetna | Medicare Advantage | $374 |
| United Healthcare | Medicare Advantage | $374 |
| Medicaid Oklahoma | Default | $376 |
| Medicare A OK JH | Default | $391 |
| United Healthcare | Default | $450 |
| Aetna | Default | $460 |
| Health Choice Insurance | Default | $532 |
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