Emergency visit, high (level 4) at Dimmit Regional Hospital. CPT 99284.
What Dimmit Regional Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$282cash price (self-pay)
$1,290list price
$179–$2,026range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $491 |
| Aetna | Commercial | $1,097 |
| Blue Cross Blue Shield of Texas - Blue Advantage | HMO | $1,123 |
| Blue Cross Blue Shield of Texas | Blue Essentials | $1,239 |
| Blue Cross Blue Shield of Texas | PPO | $1,239 |
| Blue Cross Blue Shield of Texas | Traditional | $1,239 |
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