Emergency visit, high (level 4) at CHRISTUS Southeast Texas - MidCounty. CPT 99284.
What CHRISTUS Southeast Texas - MidCounty publishes for this service, straight from its standard-charges file, last updated January 13, 2026.
Outpatient / ER
$1,065cash price (self-pay)
$3,226list price
$323–$4,060range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community Health Choice | Chip KM | $355 |
| Amerigroup | Chip KM | $387 |
| Amerigroup | Star KM | $387 |
| Amerigroup | Star Kids KM | $387 |
| Amerigroup | Star Plus KM | $387 |
| Community Health Choice | Star KM | $387 |
| Aetna | MM | $427 |
| Allwell | Superior Health MM | $427 |
| Arcadian Health Plan | MM | $427 |
| Blue Cross Blue Shield of Texas | MM | $427 |
| Christus Health | Med Adv MM | $427 |
| Community Health Choice | Dual MM | $427 |
| Coventry | First Health MM | $427 |
| Humana | Gold Choice MM | $427 |
| Amerigroup | MM | $461 |
| Devoted Health Plan | MM | $461 |
| American Health Medicare | Advantage MM | $469 |
| Imperial Health Plan | MM | $469 |
| Christus Health | HIX | $597 |
| ADV Cardiovas Specialist | MM | $853 |
| Healthcare Highways | PPO | $1,452 |
| Humana | Choicecare | $1,553 |
| Cigna | New Business | $1,592 |
| Aetna | New Business | $1,939 |
| Cigna | PPO | $2,096 |
| First Health | PPO | $2,097 |
| Healthsmart | Accel PPO | $2,097 |
| Aetna | EPO | $2,155 |
| Aetna | HMO | $2,155 |
| Aetna | POS | $2,155 |
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