Emergency visit, high (level 4) at Doctors Hospital of Laredo Providence Hospital. CPT 99284.
What Doctors Hospital of Laredo Providence Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,660cash price (self-pay)
$6,213list price
$95.47–$5,778range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior | Medicaid | $95.47 |
| Driscoll | Medicaid | $98.33 |
| Molina | Medicaid | $100 |
| United_healthcare_star_plus | Medicaid | $173 |
| Superior_star_kids | Medicaid | $179 |
| Superior_health_star | Medicaid | $184 |
| Driscoll_star | Medicaid | $190 |
| Molina_star | Medicaid | $194 |
| United_healthcare | Medicaid | $194 |
| Superior_health_star_plus | Medicaid | $194 |
| Driscoll_star_plus | Medicaid | $200 |
| Molina_star_plus | Medicaid | $204 |
| Cigna | Medicaid | $492 |
| Driscoll_star_kids | Medicaid | $947 |
| United_healthcare_star_kids | Medicaid | $966 |
| Cigna | Managed_care | $1,395 |
| Blue_cross_blue_shield_of_tx | Qhp | $1,600 |
| Blue_cross_blue_shield_of_tx | HMO | $1,720 |
| Blue_cross_of_tx | Managed_care | $2,080 |
| Blue_cross_blue_shield_of_tx | PPO | $2,080 |
| United_healthcare | Managed_care | $2,672 |
| Aetna | Managed_care | $3,355 |
| Multiplan | Managed_care | $3,914 |
| Healthsmart | Managed_care | $4,038 |
| Geha | Managed_care | $5,778 |
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All common services at Doctors Hospital of Laredo Providence Hospital