Emergency visit, high (level 4) at CHRISTUS Santa Rosa Hospital - Westover Hills. CPT 99284.
What CHRISTUS Santa Rosa Hospital - Westover Hills publishes for this service, straight from its standard-charges file, last updated January 13, 2026.
Outpatient / ER
$1,346cash price (self-pay)
$4,078list price
$400–$3,874range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MM | $400 |
| Allwell | Superior Health MM | $400 |
| Blue Cross Blue Shield of Texas | MM | $400 |
| Christus Health | Med Adv MM | $400 |
| Coventry | First Health MM | $400 |
| Community First | Chip KM | $417 |
| Community First | Star KM | $417 |
| Amerigroup | MM | $432 |
| Devoted Health Plan | MM | $432 |
| American Health Medicare | Advantage MM | $440 |
| Aetna | Chip KM | $449 |
| Aetna | Star KM | $449 |
| Blue Cross Blue Shield Of Texas | Star Chip KM | $449 |
| Driscoll Children's Health Plan | Chip KM | $449 |
| Driscoll Children's Health Plan | Star KM | $449 |
| Driscoll Children's Health Plan | Star Kids KM | $449 |
| El Paso First | KM | $449 |
| Employer Direct | Healthcare PPO | $480 |
| Amerigroup | Chip KM | $489 |
| Amerigroup | Star KM | $489 |
| Amerigroup | Star Kids KM | $489 |
| Amerigroup | Star Plus KM | $489 |
| Community First | Med Adv MM | $489 |
| Christus Health | HIX | $560 |
| Community First | Star Kids KM | $652 |
| Community First Health Plan | HMO | $1,957 |
| Christian Brothers Services | PPO | $2,243 |
| Cigna | New Business | $2,313 |
| Aetna | New Business | $2,335 |
| Blue Cross Blue Shield of Texas | Blue AdvantangeHMO | $2,520 |
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All common services at CHRISTUS Santa Rosa Hospital - Westover Hills