Emergency visit, high (level 4) at 62-1166050 BMH Carroll County. CPT 99284.
What 62-1166050 BMH Carroll County publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$691cash price (self-pay)
$3,005list price
$93.67–$2,705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TN BCBS | TennCare | $115 |
| TN BCBS | CoverKids | $125 |
| TN BCBS | BlueCare | $188 |
| VACCN | Veterans Administration | $389 |
| Humana | Medicare | $400 |
| Aetna | Medicare | $408 |
| American Health Plan | Medicare | $408 |
| TN BCBS | Medicare | $408 |
| Tn BCBS | Dsnp | $408 |
| Cigna | Medicare | $408 |
| Cigna | IFP | $525 |
| Bartlett City Schools | Commercial | $642 |
| City of Bartlett | Commercial | $642 |
| City of Lakeland | Commercial | $642 |
| Collierville Schools | Commercial | $642 |
| EAS MSSC Schools | Commercial | $642 |
| Armstrong Relocation | Commercial | $700 |
| Ashley Furniture Stores | Commercial | $700 |
| Brimhall Foods | Commercial | $700 |
| Building Plastic | Commercial | $700 |
| Burch Food Services | Commercial | $700 |
| Cannon Motor Company | Commercial | $700 |
| Carlisle | Commercial | $700 |
| Crittenden County | Commercial | $700 |
| Davidson Hospitality | Commercial | $700 |
| DeSoto Co Board of Supervisors | Commercial | $700 |
| Dunn Investment Company | Commercial | $700 |
| First Choice Health Plan of MS | HPN | $700 |
| First Community Bank | Commercial | $700 |
| French Camp Academy | Commercial | $700 |
Inpatient
$691cash price (self-pay)
$3,005list price
$93.67–$2,705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Optum Healthcare | Commercial | $93.67 |
| Arlington Community Schools | Commercial | $603 |
| PPO Holdings | Commercial | $1,142 |
| Magnolia Regional Health Center | Commercial | $1,202 |
| Littler | Commercial | $1,503 |
| United Healthcare | Commercial | $1,734 |
| Humana | CPOS/HMO/NPOS/PPO | $1,983 |
| Mpcn | PPO/HMO | $2,254 |
| Multiplan | Complementary Network | $2,254 |
| Multiplan | MPI Primary Network | $2,254 |
| NovaSys | All | $2,254 |
| PPO Plus | Commercial | $2,554 |
| QCA | All | $2,705 |
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