Emergency visit, high (level 4) at El Campo Memorial Hospital. CPT 99284.
What El Campo Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$377cash price (self-pay)
$932list price
$71.63–$1,486range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Managed Medicaid | $183 |
| Aetna Health Inc. | Managed Medicaid | $183 |
| Community Health Choice | Managed Medicaid | $183 |
| Molina | Managed Medicaid | $183 |
| Texas Children's Health Plan | Managed Medicaid | $183 |
| United HealthCare | Managed Medicaid | $183 |
| Molina | Medicare Advantage | $249 |
| TriWest | Medicare Advantage | $249 |
| United HealthCare | Medicare Advantage | $249 |
| Community Health Choice | Medicare Advantage | $261 |
| Aetna Health Inc. | Medicare Advantage | $275 |
| Aetna Health Inc. | Commercial | $642 |
| Blue Cross Blue Sheild | BAV | $743 |
| United HealthCare | Commercial | $858 |
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