Emergency visit, high (level 4) at Ascension Seton Highland Lakes (Ascension Seton). CPT 99284.
What Ascension Seton Highland Lakes (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,498cash price (self-pay)
$4,162list price
$200–$4,162range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Star | 3509_chirp Superior Star (Chi,Dcn) Inpatient 20240901 | $200 |
| Superior Star | 3514_chirp Superior Star (Shl) Inpatient 20240901 | $200 |
| Superior Star Plus | 4375_chirp Superior Star Plus (Chi,Dcn) Inpatient | $200 |
| Superior Star Plus | 4380_chirp Superior Star Plus (Shl) Inpatient 202 | $200 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $316 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $348 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $348 |
| BCBS Chip/Chip Perinate | 3599_blue Cross Chip/Star Kids (Shl) Inpatie | $583 |
| BCBS Star | 3698_chirp Blue Cross Star (Shl) Inpatient 20240901 | $583 |
| Dell Chip/Chip Perinate | 3610_dell Chip/Star Kids (Shl) Inpatient 202 | $583 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $601 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $601 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $601 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $601 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $601 |
| BCBS Chip/Chip Perinate | 4173_blue Cross Chip (Shl) Outpatient 202412 | $708 |
| BCBS Chip/Chip Perinate | 4173_blue Cross Chip/Star Kids (Shl) Outpati | $708 |
| BCBS Star | 4224_chirp Blue Cross Star (Shl) Outpatient 20241201 | $708 |
| BCBS Star Kids | 5013_blue Cross Star Kids (Shl) Outpatient 20241201 | $708 |
| Humana HMO | 2668_humana HMO 20230701 | $1,106 |
| Whole Foods | 4512_whole Foods 20251001 | $1,140 |
| Aetna Choice | 236_aetna Elect Choice 20140601 | $1,325 |
| Aetna POS 20140601 | 235_aetna POS 20140601 | $1,325 |
| Aetna Sha Aisd | 4335_aetna Sha Aisd 20250101 | $1,368 |
| Oscar Health Exchange | 4511_oscar Health Plan 20251001 | $1,381 |
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $1,706 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $1,706 |
| Aetna HMO | 4486_aetna HMO 20250801 | $1,710 |
| Covenant Health | 4491_covenant Management Solutions-Aetna 20250801 | $1,710 |
| Cigna HMO | 4475_cigna HMO (Aus,Nw,Sw,Hay) 20250701 | $1,873 |
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All common services at Ascension Seton Highland Lakes (Ascension Seton)