Emergency visit, moderate (level 3) at Baylor Scott & White Mclane Children's Medical Center. CPT 99283.
What Baylor Scott & White Mclane Children's Medical Center publishes for this service, straight from its standard-charges file, last updated June 13, 2026.
Outpatient / ER
$887cash price (self-pay)
$1,478list price
$222–$2,805range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | Medicaid | $222 |
| United Healthcare | Medicaid/CHIP | $237 |
| Baylor Scott & White Health Plan | Medicare Advantage | $261 |
| CORVEL | Worker's Compensation | $266 |
| TriWest | Community Care Network | $274 |
| American Health Plan | Medicare Advantage | $288 |
| Blue Cross Blue Shield | Medicare Advantage | $288 |
| ProCare Advantage | Medicare Advantage | $288 |
| United Healthcare | Medicare Advantage | $307 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $329 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $344 |
| Prime Health Services | Worker's Compensation | $346 |
| CareWorks fka Rockport | Worker's Compensation | $410 |
| Sedgwick | Preferred Network | $410 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $452 |
| Employers Health Network | BSWQA Direct/EHN Rental | $695 |
| QuikTrip | Employee Benefit Plan | $813 |
| Employers Health Network | EHN Network | $813 |
| MidCoast | Commercial | $813 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $868 |
| Independent Medical System | Commercial PPO | $887 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $945 |
| Curative | Commercial | $961 |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier | $1,021 |
| University of Mary Hardin-Baylor | Commercial | $1,026 |
| First Health | PPO | $1,035 |
| Humana | Commercial PPO | $1,035 |
| HealthSmart | Accel Network | $1,108 |
| HealthSmart | Preferred Network | $1,108 |
| Private Health Care System | PHCS Network | $1,108 |
Inpatient
$887cash price (self-pay)
$1,478list price
$813–$1,035range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $813 |
| MidCoast | Commercial | $813 |
| Independent Medical System | Commercial PPO | $887 |
| Curative | Commercial | $961 |
| First Health | PPO | $1,035 |
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All common services at Baylor Scott & White Mclane Children's Medical Center