Emergency visit, high (level 4) at Le Bonheur Children's Hospital. CPT 99284.
What Le Bonheur Children's Hospital publishes for this service, straight from its standard-charges file, last updated March 19, 2026.
Outpatient / ER
$701cash price (self-pay)
$3,188list price
$51.00–$12,124range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ar - Medicaid [300005] | Hb Medicaid-Ar Contract | $51.00 |
| MS - MEDICAID [300025] | HB MEDICAID MS - TN Locations | $328 |
| MS - MEDICAID [300025] | HB MEDICAID MS - MAGNOLIA HEALTHCARE - TN Loc | $328 |
| Ms - Medicaid [300025] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contract | $328 |
| Molina Healthcare [350012] | Hb Molina Hc Of Ms - Mscan Mlh-Tn Contrac | $328 |
| MS MEDICAID TrueCare [350022] | HB MEDICAID MS - TN Locations | $328 |
| UHC Medicaid [350006] | Hb UHC Ms Can Mlh-Tn-Leb Contract | $328 |
| Magnolia Medicaid [350020] | Hb Medicaid Ms - Magnolia Healthcare - Tn | $328 |
| Wellpoint Medicaid [350002] | Hb Amerigroup-Wellpoint Lebonheur Cont | $329 |
| UHC Medicaid [350006] | Hb Medicaid Tn - UHC Tenncare (Americhoice) - | $358 |
| Alt BCBS MS Medicare [450116] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $390 |
| Shared Health Of Ms - Medicare Advantage [450074] | Hb Medicare Advant | $390 |
| Alt BCBS TN Medicare [450115] | HB MEDICARE ADVANTAGE / MANAGED CARE - | $390 |
| American Health Advantage MCR ADV [450117] | HB MEDICARE ADVANTAGE / M | $390 |
| Humana Medicare Advantage [450013] | Hb Medicare Advantage / Managed C | $390 |
| Optum Medicare Advantage [450112] | Hb Medicare Advantage / Managed CA | $390 |
| Carecentrix [450200] | Hb Medicare Advantage / Managed Care - Tn Contr | $390 |
| Medipak Advantage - BCBS Ar [450040] | Hb Medicare Advantage / Managed | $390 |
| Medicare Priority Health [450072] | Hb Medicare Advantage / Managed CA | $390 |
| Generic Hospice Vbid [10940000101] | Hb Medicare Advantage / Managed C | $390 |
| Healthy Mississippi - Medicare Advantage HMO [450114] | Hb Medicare Ad | $390 |
| Medicare [400001] | Hb Medicare-Tn Contract | $390 |
| Healthsprings Medicare Advantage [450007] | Hb Medicare Advantage / MA | $390 |
| United Healthcare Medicare [450021] | Hb Medicare Advantage / Managed | $390 |
| BCBS Medicare Advantage [450110] | Hb Medicare Advantage / Managed Car | $390 |
| Wellcare By Allwell Ar Medicare Advantage [450099] | Hb Medicare Advan | $390 |
| Devoted Health [450111] | Hb Medicare Advantage Devoted - Tn Contract | $402 |
| Molina Healthcare [350012] | Hb Molina Mschips - Mlh-Tn Contract | $410 |
| UHC Medicaid [350006] | Hb UHC Mschips Lebonheur Contract | $1,044 |
| CIGNA [100009] | HB Cigna EPO Le Bonheur | $1,089 |
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