Emergency visit, high (level 4) at Hca Houston Clear Lake. CPT 99284.
What Hca Houston Clear Lake publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,909cash price (self-pay)
$3,909list price
$300–$4,651range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | CHIP | $320 |
| Molina Healthcare | STAR | $320 |
| Molina Healthcare | STARKIDS | $320 |
| Molina Healthcare | STARPLUS | $320 |
| Amerigroup | MGMCD | $363 |
| Amerigroup | MCDCHIPBH | $547 |
| United | OptionsPPO | $688 |
| Texas Workforce Commission | WCOMP | $938 |
| BCBS | MyBlueHealth | $1,280 |
| Humana | HMO | $1,295 |
| Humana | PPO | $1,295 |
| BCBS | Traditional | $1,368 |
| Christus (USFHP) | TRICARE | $1,563 |
| HealthSmart Preferred Care | ACCEL | $1,681 |
| United | GlobalAppendix | $1,759 |
| BCBS | Bav | $1,800 |
| Coventry National First Health | COMM | $2,025 |
| Physicians Cooperative of Texas | WC | $2,150 |
| Rockport Workers Comp | COMM | $2,150 |
| Independent Medical System | COMM | $2,345 |
| National Healthcare Solutions | COMM | $2,345 |
| SouthWest Medical | WORKERSCOMP | $2,345 |
| Imagine Health | PPO | $2,362 |
| Kelsey Care (Boon-Chapman) | COMM | $2,431 |
| Averde Health | Commercial | $2,500 |
| Coastal Comp | COMM | $2,541 |
| Healthcare Highways | NarrowNetwork | $2,920 |
| Multiplan | PHCSPrimaryNetwork | $2,932 |
| BCBS | HMO | $3,190 |
| HealthSmart Preferred Care | PPO | $3,205 |
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