Emergency visit, high (level 4) at Er 24/7 Northwest. CPT 99284.
What Er 24/7 Northwest publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,563cash price (self-pay)
$4,563list price
$320–$9,544range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | CHIP | $320 |
| Molina Healthcare | STAR | $320 |
| Molina Healthcare | STARKIDS | $320 |
| Molina Healthcare | STARPLUS | $320 |
| Healthcare Highways | NarrowNetwork | $876 |
| United | OptionsPPO | $904 |
| Texas Workforce Commission | WCOMP | $1,095 |
| Humana | HMO | $1,148 |
| Humana | PPO | $1,148 |
| Averde Health | COMM | $1,506 |
| BCBS | Traditional | $1,761 |
| HealthSmart Preferred Care | ACCEL | $1,962 |
| United | GlobalBenefitPlan | $2,053 |
| United | SmallGroup | $2,127 |
| BCBS | HMO | $2,340 |
| BCBS | Bav | $2,380 |
| BCBS | MyBlueHealth | $2,380 |
| United | AllPayerAppendix | $2,430 |
| Physicians Cooperative of Texas | WC | $2,510 |
| First Health | COMM | $2,738 |
| National Healthcare Solutions | COMM | $2,738 |
| Olympus Managed Healthcare | COMM | $2,738 |
| SouthWest Medical | WORKERSCOMP | $2,738 |
| BCBS | Eposoa | $2,740 |
| Coastal Comp | COMM | $2,966 |
| BCBS | PPO | $3,140 |
| Newton PPO | COMM | $3,194 |
| HealthSmart Preferred Care | PPO | $3,422 |
| Multiplan | PHCSPrimaryNetwork | $3,422 |
| Texas True Choice | COMM | $3,422 |
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