Emergency visit, high (level 4) at Ethicus Hospital DFW. CPT 99284.
What Ethicus Hospital DFW publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
$1,624cash price (self-pay)
$3,247list price
$411–$1,125range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Medicare Advantage | $411 |
| Blue Cross Blue Shield of TX Med Adv 66006 | Medicare Advantage | $411 |
| Medicare A TX J4 TrailBlazer | Default | $411 |
| UHC Group Medicare Advantage | Medicare Advantage | $411 |
| Cigna | Default | $645 |
| United Healthcare | Default | $648 |
| Blue Cross Blue Shield of TX | Default | $767 |
| Aetna | Default | $1,125 |
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