Emergency visit, high (level 4) at SSM Health St. Anthony Hospital - Oklahoma City. CPT 99284.
What SSM Health St. Anthony Hospital - Oklahoma City publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,624cash price (self-pay)
$2,953list price
$187–$1,003range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Exchange | $187 |
| BCBS | Medicare Managed Care Plan | $401 |
| UnitedHealthCare | Medicare Managed Care Plan | $407 |
| Humana | Medicare Managed Care Plan | $408 |
| BCBS | Native Blue HMO | $413 |
| Oscar | All Commercial Plans | $528 |
| Healthchoice | All Commercial Plans | $532 |
| Ambetter Health | Exchange | $542 |
| Community Care | Select HMO | $742 |
| Kempton | All Commercial Plans | $783 |
| Global Health | All Commercial Plans | $869 |
| Community Care | HMO | $1,003 |
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All common services at SSM Health St. Anthony Hospital - Oklahoma City