Emergency visit, high (level 4) at Ascension Seton Medical Center Austin (Ascension Seton). CPT 99284.
What Ascension Seton Medical Center Austin (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,082cash price (self-pay)
$3,006list price
$200–$3,360range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Star | 3507_chirp Superior Star (Aus) Inpatient 20240901 | $200 |
| Superior Star | 3509_chirp Superior Star (Chi,Dcn) Inpatient 20240901 | $200 |
| Superior Star | 4239_chirp Superior Star (Aus) Outpatient 20241201 | $200 |
| Superior Star Plus | 4373_chirp Superior Star Plus (Aus) Inpatient 202 | $200 |
| Superior Star Plus | 4375_chirp Superior Star Plus (Chi,Dcn) Inpatient | $200 |
| Superior Star Plus | 4385_chirp Superior Star Plus (Aus) Outpatient 20 | $200 |
| BCBS Chip/Chip Perinate | 3592_blue Cross Chip/Star Kids (Aus) Inpatie | $234 |
| BCBS Chip/Chip Perinate | 4166_blue Cross Chip (Aus) Outpatient 202412 | $234 |
| BCBS Chip/Chip Perinate | 4166_blue Cross Chip/Star Kids (Aus) Outpati | $234 |
| BCBS Star | 3691_chirp Blue Cross Star (Aus) Inpatient 20240901 | $234 |
| BCBS Star | 4217_chirp Blue Cross Star (Aus) Outpatient 20241201 | $234 |
| BCBS Star Kids | 4999_blue Cross Star Kids (Aus) Outpatient 20241201 | $234 |
| 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 | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $470 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $470 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $470 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $470 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $470 |
| 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 |
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $1,333 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $1,333 |
| Aetna Sha Aisd | 4335_aetna Sha Aisd 20250101 | $1,368 |
| Oscar Health Exchange | 4511_oscar Health Plan 20251001 | $1,381 |
| BCBS PPO | 4094_blue Cross Blue Shield PPO 20250101 | $1,460 |
| Cigna HMO | 4475_cigna HMO (Aus,Nw,Sw,Hay) 20250701 | $1,463 |
Inpatient
—cash price (self-pay)
—list price
$404–$743range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aarp Mc Wellmed | 4656_medicare Advantage Aarp Wellmed Inpatient (Aus, | $404 |
| Sendero Chap | 4651_sendero Chap Inpatient 20251001 | $409 |
| Addr Cancer Together | 4681_addr Cancer Together Inpatient 20251001 | $413 |
| Aetna Mcr Replacement | 4659_medicare Advantage Aetna Inpatient 202510 | $413 |
| Ascension Complete Medicare Replacement | 4682_medicare Advantage Asce | $413 |
| Covid Hrsa | 4693_covid Hrsa Unin Q80 Inpatient 20251001 | $413 |
| Cshcn Cidc | 4694_cshcn Cidc Ip (Adult) 20251001 | $413 |
| Devoted Health Mcr Replacement | 4684_medicare Advantage Devoted Healt | $413 |
| Humana Mcr Replacement | 4661_medicare Advantage Humana Inpatient (Aus | $413 |
| Medicare Oon | 4666_medicare Advantage Inpatient Oon 20251001 | $413 |
| Medicare Replacement | 4665_medicare Advantage Inpatient 100% 20251001 | $413 |
| Research Study | 4650_research Study Ip 20251001 | $413 |
| Smarthealth | 4680_smarthealth Ip 20251001 | $413 |
| Superior Allwell | 4686_medicare Advantage Superior Allwell Inpatient | $413 |
| Tricare | 4696_tricare Inpatient 20251001 | $413 |
| Uhcpcip | 4678_united Healthcare Pcip (Aus) Ip 20251001 | $413 |
| Wellcare Med Advantage | 4691_medicare Advantage Wellcare Inpatient 20 | $413 |
| Welmed Medicare | 4669_medicare Advantage Welmed Inpatient (Aus,Nw,Sw, | $413 |
| UHC Mcr Replacement | 4687_medicare Advantage United Healthcare Inpati | $421 |
| Connected Senior Care | 4660_medicare Advantage Connected Senior Care | $425 |
| Pphp Mcr Advantage | 4668_medicare Advantage Pphp Inpatient 20251001 | $433 |
| TX Independence Hp | 4671_tx Independence Hp Ip 20251001 | $433 |
| Occunet | 4674_occunet Ip 20251001 | $578 |
| Sendero Idealcare | 4675_sendero Idealcare Ip 20251001 | $722 |
| Superior Ambetter | 4652_superior Ambetter Inpatient 20251001 | $743 |
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All common services at Ascension Seton Medical Center Austin (Ascension Seton)