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Emergency visit, high (level 4) at Glen Rose Medical Center. CPT 99284.

What Glen Rose Medical Center publishes for this service, straight from its standard-charges file.

Outpatient / ER

$1,245cash price (self-pay)
$1,245list price
$573–$2,000range insurers pay
Insurance planNegotiated rate
Cook Children's | Health Plan Star$573
Aetna | HMO$759
Blue Cross Blue Shield | POS$809
Rightcare Scott and White | Commercial$809
Aetna | Non HMO$872
Aetna | PPO$872
Blue Cross Blue Shield | HMO$909
Scott and White | Texas HMO$934
Anthem Blue Cross | AmeriHealth HMO$996
Humana | Commercial HMO$1,121
Humana | PPO$1,183
Cigna | Flexcare$2,000
Cigna | PPO$2,000
Cigna | HMO$2,000
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All common services at Glen Rose Medical Center