Emergency visit, high (level 4) at Baylor Scott & White Medical Center Sunnyvale. CPT 99284.
What Baylor Scott & White Medical Center Sunnyvale publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,964cash price (self-pay)
$3,273list price
$404–$6,143range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare Adv HMO | $404 |
| BCBS | Bav | $2,221 |
| BCBS | Blue Advantage HMO | $2,221 |
| BCBS | Blue Essentials HMO | $2,675 |
| BCBS | Blue Health | $3,146 |
| BCBS | Hmh | $3,146 |
| BCBS | Hpn | $3,146 |
| BCBS | Premier HMO | $3,146 |
| BCBS | City of Dallas PPO | $4,226 |
| BCBS | Blue Choice | $4,696 |
| BCBS | PPO | $4,696 |
| UHC | Charter | $5,528 |
| UHC | Nexus | $5,528 |
| UHC | Commercial | $6,143 |
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All common services at Baylor Scott & White Medical Center Sunnyvale