Emergency visit, high (level 4) at Baylor Scott & White Medical Center - Brenham. CPT 99284.
What Baylor Scott & White Medical Center - Brenham publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$1,602cash price (self-pay)
$2,669list price
$330–$4,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $330 |
| American Health Plan | Medicare Advantage | $347 |
| TriWest | Community Care Network | $347 |
| CORVEL | Worker's Compensation | $364 |
| Prime Health Services | Worker's Compensation | $364 |
| Blue Cross Blue Shield | Medicare Advantage | $364 |
| HealthSpring | Medicare Advantage | $364 |
| ProCare Advantage | Medicare Advantage | $364 |
| Superior Health Plan | Medicare HMO/Medicare PPO | $364 |
| United Healthcare | Medicare Advantage | $389 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $416 |
| CareWorks fka Rockport | Worker's Compensation | $431 |
| Injury Management Organization | Med Select Network | $431 |
| Sedgwick | Preferred Network | $431 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $436 |
| United Healthcare | Medicaid/CHIP | $503 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $625 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $1,100 |
| Baylor Scott & White Health Plan | BSW Plus - Large Group/BSW Premier | $1,295 |
| University of Mary Hardin-Baylor | Commercial | $1,301 |
| QuikTrip | Employee Benefit Plan | $1,468 |
| MidCoast | Commercial | $1,468 |
| Independent Medical System | Commercial PPO | $1,602 |
| Curative | Commercial | $1,735 |
| First Health | PPO | $1,869 |
| Humana | Commercial PPO | $1,869 |
| HealthSmart | Accel Network | $2,002 |
| HealthSmart | Preferred Network | $2,002 |
| Private Health Care System | PHCS Network | $2,002 |
| Humana | Commercial HMO | $2,136 |
Inpatient
$1,602cash price (self-pay)
$2,669list price
$1,468–$2,403range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $1,468 |
| MidCoast | Commercial | $1,468 |
| Independent Medical System | Commercial PPO | $1,602 |
| Curative | Commercial | $1,735 |
| First Health | PPO | $1,869 |
| Humana | Commercial HMO | $2,136 |
| BlueBell Creameries | Self Insured | $2,403 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Baylor Scott & White Medical Center - Brenham