Emergency visit, high (level 4) at Ascension Seton Williamson (Ascension Seton). CPT 99284.
What Ascension Seton Williamson (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$883cash price (self-pay)
$3,027list price
$168–$3,250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $1,241 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $1,241 |
| Cigna HMO | 4475_cigna HMO (Aus,Nw,Sw,Hay) 20250701 | $1,362 |
| Cigna HMO | 4476_cigna HMO (Wil,Del) 20250701 | $1,362 |
| Champva | 1135_champva Rest_tx 20180301 | $3,027 |
| Champva | 1136_champva Austin 20180301 | $3,027 |
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All common services at Ascension Seton Williamson (Ascension Seton)