Emergency visit, high (level 4) at CAHRMC, dba Rice Medical Center. CPT 99284.
What CAHRMC, dba Rice Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$931cash price (self-pay)
$1,330list price
$379–$1,330range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare Commercial | PPO | $379 |
| BCBS HMO/Blue Essentials | HMO | $500 |
| BCBS PPO/Traditional | PPO | $556 |
| Molina Medicaid | Medicaid | $592 |
| Cigna Commercial | PPO/HMO | $712 |
| Humana Medicare Advantage | Medicare Advantage | $718 |
| Aetna Medicare Advantage | Medicare Advantage | $718 |
| BCBS Medicare Advantage | Medicare Advantage | $725 |
| Aetna Commercial | PPO/HMO | $958 |
| TML Intergovernmental Employee Benefits | Unknown | $1,130 |
| Superior | Medicaid | $1,330 |
Inpatient
$931cash price (self-pay)
$1,330list price
$1.00–$1,197range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Scott and White Medicaid | Medicaid | $1.00 |
| Wellpoint Medicaid | Medicaid | $1.00 |
| Community Health Choice Medicaid | Medicaid | $1.00 |
| Molina Medicaid | Medicaid | $1.00 |
| BCBS HMO/Blue Essentials | HMO | $798 |
| BCBS Blue Advantage | Blue Advantage | $798 |
| BCBS PPO/Traditional | PPO | $798 |
| Choice One Inc EPO/POS | EPO | $958 |
| Medavant Healthcare Solutions | Unknown | $1,064 |
| Choice One Inc PPO | PPO | $1,064 |
| Private Healthcare Systems | Unknown | $1,064 |
| ChoiceCare Network PPO, POS, Med Adv | Medicare Advantage | $1,064 |
| Accountable Health Plans of America | PPO | $1,130 |
| ProAmerica PPO | PPO | $1,130 |
| MedCorp Southwest | Unknown | $1,130 |
| Great West Healthcare of Texas | Unknown | $1,170 |
| Health Industry Trust and Welfare Plan | Unknown | $1,197 |
| Galaxy Health Network | Unknown | $1,197 |
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