Emergency visit, high (level 4) at Hca Houston Mainland. CPT 99284.
What Hca Houston Mainland 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 |
|---|---|
| Community Health Choice MCD | CHIP | $300 |
| Community Health Choice MCD | CHIPPerinatal | $300 |
| Community Health Choice MCD | STAR | $300 |
| Community Health Choice MCD | STAR+PLUS | $300 |
| Molina Healthcare | CHIP | $320 |
| Molina Healthcare | STAR | $320 |
| Molina Healthcare | STARKIDS | $320 |
| Molina Healthcare | STARPLUS | $320 |
| Amerigroup | MGMCD | $363 |
| Amerigroup | MCDCHIPBH | $547 |
| BCBS | MyBlueHealth | $1,280 |
| BCBS | Bav | $1,800 |
| Imagine Health | PPO | $2,362 |
| Oscar | HIX | $2,436 |
| Averde Health | Commercial | $2,500 |
| United | NarrowNetworkIndivExchange | $2,508 |
| United | SmallGroup | $2,796 |
| Healthcare Highways | NarrowNetwork | $2,920 |
| Aetna | NBHMO | $3,115 |
| Aetna | NBPOS | $3,115 |
| BCBS | HMO | $3,190 |
| BCBS | Eposoa | $3,280 |
| Aetna | COMMHMO | $3,311 |
| Aetna | COMMPOS | $3,311 |
| BCBS | PPO | $3,360 |
| Aetna | NBPPO | $3,443 |
| Cigna | CSN | $3,448 |
| Affiliated PPO | COMM | $3,518 |
| Aetna | COMMPPO | $3,659 |
| Evry Health | BroadNetwork | $3,704 |
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