Emergency visit, high (level 4) at McLeod Health Clarendon. CPT 99284.
What McLeod Health Clarendon publishes for this service, straight from its standard-charges file, last updated July 20, 2026.
Outpatient / ER
$1,504cash price (self-pay)
$2,119list price
$378–$5,363range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare | DHA | $378 |
| Medicare | Medicare | $397 |
| BCBS | Medicare Advantage | $397 |
| Molina Exchange | Medicare Advantage | $397 |
| UHC | Medicare Advantage | $403 |
| Aetna | Medicare Advantage | $407 |
| Clover | Medicare Advantage | $413 |
| Humana | Medicare Advantage | $413 |
| BCBS | Hix | $415 |
| Molina | Medicare Advantage | $423 |
| Molina MMP | Medicare Advantage | $423 |
| Absolute Total Care MMP | Medicare Advantage | $425 |
| Allwell | Medicare Advantage | $425 |
| Wellcare | Medicare Advantage | $425 |
| BCBS | State | $647 |
| AMBetter | Medicare Advantage | $715 |
| Promise Health | Commerical | $1,255 |
| BCBS | Preferred | $1,312 |
| BCBS | Choice | $1,418 |
| Aetna | Commercial | $1,695 |
| UHC | Commercial | $3,402 |
| Cigna | Commercial | $5,363 |
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