Emergency visit, high (level 4) at 62-1113167 BMH Tipton. CPT 99284.
What 62-1113167 BMH Tipton publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$721cash price (self-pay)
$3,005list price
$175–$2,705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN BCBS | TennCare | $175 |
| TN BCBS | CoverKids | $189 |
| Ar BCBS | Lppo | $398 |
| AR BCBS | Medicare | $398 |
| Devoted Health | Medicare | $398 |
| Aetna | Medicare | $409 |
| American Health Plan | Medicare | $409 |
| TN BCBS | Medicare | $409 |
| Tn BCBS | Dsnp | $409 |
| Arlington Community Schools | Commercial | $643 |
| Bartlett City Schools | Commercial | $643 |
| City of Bartlett | Commercial | $643 |
| City of Lakeland | Commercial | $643 |
| Collierville Schools | Commercial | $643 |
| EAS MSSC Schools | Commercial | $643 |
| Armstrong Relocation | Commercial | $702 |
| Ashley Furniture Stores | Commercial | $702 |
| Brimhall Foods | Commercial | $702 |
| Building Plastic | Commercial | $702 |
| Burch Food Services | Commercial | $702 |
| Cannon Motor Company | Commercial | $702 |
| Carlisle | Commercial | $702 |
| Crittenden County | Commercial | $702 |
| Davidson Hospitality | Commercial | $702 |
| DeSoto Co Board of Supervisors | Commercial | $702 |
| Dunn Investment Company | Commercial | $702 |
| First Choice Health Plan of MS | HPN | $702 |
| Access Health Services | Commercial | $780 |
| Employers Health Network | Commercial | $780 |
| Aetna | Commercial | $841 |
Inpatient
$721cash price (self-pay)
$3,005list price
$1,142–$2,705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| PPO Holdings | Commercial | $1,142 |
| Magnolia Regional Health Center | Commercial | $1,202 |
| Littler | Commercial | $1,503 |
| Molina | Exchange | $1,503 |
| Access Health Services | Commercial | $1,803 |
| Ar BCBS | Lppo | $1,803 |
| AR BCBS | Medicare | $1,803 |
| Butler Snow | Commercial | $1,803 |
| UHC Student Resources | Commercial | $1,803 |
| Mpcn | PPO/HMO | $2,254 |
| Multiplan | Complementary Network | $2,254 |
| NovaSys | All | $2,254 |
| PPO Plus | Commercial | $2,554 |
| QCA | All | $2,705 |
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