Emergency visit, high (level 4) at Dallas Regional Medical Center. CPT 99284.
What Dallas Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$417cash price (self-pay)
$1,835list price
$79.27–$1,820range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint Amerigroup | Wellpoint Amerigroup CHIP Medicaid | $375 |
| Careworks FKA (ROCKPORT COMMUNITY NETWORK) WorkerComp | Careworks Wor | $396 |
| TRIWEST (BCBS) | Triwest - BCBS | $405 |
| Aetna | Aetna Medicare Advantage | $417 |
| BCBS Of TX | BCBS Medicare HMO/PPO | $417 |
| Care N Care Insurance Company | Care N Care Insurance Company | $417 |
| Cigna Healthspring | Cigna Healthspring Medicare Advantage | $417 |
| Cigna Healthspring | Cigna Healthspring MMP Dual Eligible | $417 |
| Superior Health Plan/Wellcare | Superior Health Plan Medicare Advantag | $417 |
| Texas Bluebonnett Health Plan | Texas Bluebonnett Health Plan Medicare | $417 |
| Traditional Medicare | Traditional Medicare | $417 |
| Tricare | Tricare | $417 |
| UHC | UHC Medicare Advantage | $417 |
| Usa Senior Care Network | Usa Senior Care Network | $417 |
| Wellmed | Wellmed Medicare Advantage | $417 |
| Cigna Healthspring | Cigna Healthspring Medicare Advantage PPO | $430 |
| Molina | Molina Medicare Advantage MMP | $438 |
| MULTIPLAN | MULTIPLAN Medicare | $438 |
| Provider Partners Health Plan | Provider Partners Health Plan | $438 |
| Imperial Insurance Companies MCR | Imperial Insurance Companies Medica | $442 |
| American Health Plan | American Health Plan | $459 |
| HI Card | HI Card Medicare Advantage | $521 |
| Superior Health Plan/Wellcare | Superior Commercial Exchange EPO HMO | $542 |
| American Correction Healthcare | American Correction Healthcare | $576 |
| Employee Direct Healthcare | Employer Direct Healthcare | $584 |
| Total Plans Srvices | Total Plans Services | $584 |
| WellPath | WellPath Medicare Prison | $605 |
| Aetna | Aetna Exchange | $626 |
| Corporate Remedies Workers Comp | Corporate Remedies Workers Compensat | $626 |
| Naphcare -Prison | Naphcare Prison | $647 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.