Emergency visit, high (level 4) at Baylor Scott & White Medical Center - Round Rock. CPT 99284.
What Baylor Scott & White Medical Center - Round Rock publishes for this service, straight from its standard-charges file, last updated June 13, 2026.
Outpatient / ER
$1,676cash price (self-pay)
$2,794list price
$398–$4,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Baylor Scott & White Health Plan | Medicare Advantage | $398 |
| CORVEL | Worker's Compensation | $407 |
| Humana | Medicare | $419 |
| Superior Health Plan | Medicare HMO/Medicare PPO | $419 |
| TriWest | Community Care Network | $419 |
| American Health Plan | Medicare Advantage | $440 |
| Blue Cross Blue Shield | Medicare Advantage | $440 |
| HealthSpring | Medicare Advantage | $440 |
| ProCare Advantage | Medicare Advantage | $440 |
| United Healthcare | Medicare Advantage | $469 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $503 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $526 |
| Prime Health Services | Worker's Compensation | $529 |
| Superior Health Plan | Medicaid | $559 |
| United Healthcare | Medicaid/CHIP | $598 |
| CareWorks fka Rockport | Worker's Compensation | $627 |
| Injury Management Organization | Med Select Network | $627 |
| Sedgwick | Preferred Network | $627 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $692 |
| 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 | $1,537 |
| MidCoast | Commercial | $1,537 |
| Independent Medical System | Commercial PPO | $1,676 |
| Curative | Commercial | $1,816 |
| First Health | PPO | $1,956 |
| Humana | Commercial PPO | $1,956 |
| BlueBell Creameries | Self Insured | $2,095 |
| HealthSmart | Accel Network | $2,095 |
Inpatient
$1,676cash price (self-pay)
$2,794list price
$1,537–$2,515range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $1,537 |
| MidCoast | Commercial | $1,537 |
| Independent Medical System | Commercial PPO | $1,676 |
| Curative | Commercial | $1,816 |
| First Health | PPO | $1,956 |
| Three Rivers | Three Rivers Provider Network | $2,515 |
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All common services at Baylor Scott & White Medical Center - Round Rock