Emergency visit, high (level 4) at Baylor Scott & White Medical Center Trophy Club. CPT 99284.
What Baylor Scott & White Medical Center Trophy Club publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$2,175cash price (self-pay)
$3,625list price
$1,820–$8,427range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna Hix | $2,457 |
| Blue Cross/Blue Shield | BCBS Dfw | $2,654 |
| Blue Cross/Blue Shield | BCBS Bav | $2,903 |
| Cigna | Cigna Cmc | $3,005 |
| Cigna | Cigna Market Solutions | $3,716 |
| Blue Cross/Blue Shield | BCBS Premier HMO | $4,113 |
| Cigna | Cigna Dfw | $4,372 |
| Blue Cross/Blue Shield | BCBS PPO-City Of Dallas | $5,522 |
| United Healthcare | UHC Nexus | $5,750 |
| Blue Cross/Blue Shield | BCBS HMO Dfw | $5,823 |
| Blue Cross/Blue Shield | BCBS PPO Dfw | $6,134 |
| United Healthcare | UHC Dfw | $6,389 |
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All common services at Baylor Scott & White Medical Center Trophy Club