Emergency visit, high (level 4) at Carrollton Regional Medical Center. CPT 99284.
What Carrollton Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$1,249cash price (self-pay)
$2,082list price
$291–$3,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid | $291 |
| BCBS | Medicaid | $291 |
| Cigna | Cooks Children Plan | $291 |
| Medicaid | Medicaid | $291 |
| Molina | Medicaid | $291 |
| Molina_medicaid_chip | Medicaid | $291 |
| Scott_and_white_medicaid_chip | Medicaid | $291 |
| Scott_and_white_medicaid_star | Medicaid | $291 |
| Scott_and_white_medicaid_star_plus | Medicaid | $291 |
| Superior | Medicaid | $291 |
| Superior_chip | Medicaid | $291 |
| UHC | Medicaid | $291 |
| Uhc_chip | Medicaid | $291 |
| Molina_medicaid_star_plus | Medicaid | $300 |
| Humana_military | Medicare | $377 |
| Aetna | Medicare | $419 |
| Amerigroup | Medicare | $419 |
| Humana_hmo | Medicare | $419 |
| Humana_pffs | Medicare | $419 |
| Humana_pos | Medicare | $419 |
| Humana_ppo | Medicare | $419 |
| Medicare | Medicare | $419 |
| Scott_and_white | Medicare | $419 |
| Molina | Medicare | $432 |
| Molina_star_plus | Medicare | $432 |
| Molina_health_insurance_marketplace | Medicare | $545 |
| Aetna_exchange | Medicare | $629 |
| Superior | Medicare | $629 |
| Scott_and_white_epo | Commercial | $940 |
| Scott_and_white_hmo | Commercial | $940 |
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