Emergency visit, high (level 4) at Hca Houston Northwest. CPT 99284.
What Hca Houston Northwest publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,022cash price (self-pay)
$6,522list price
$300–$5,855range 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 | $913 |
| United | OptionsPPO | $1,096 |
| BCBS | MyBlueHealth | $1,940 |
| Humana | HMO | $2,161 |
| Humana | PPO | $2,161 |
| BCBS | Bav | $2,200 |
| BCBS | Traditional | $2,283 |
| United | NarrowNetworkIndivExchange | $2,508 |
| Christus (USFHP) | TRICARE | $2,609 |
| United | SmallGroup | $2,796 |
| Healthcare Highways | NarrowNetwork | $2,920 |
| United | GlobalAppendix | $2,935 |
| 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 |
| Coventry National First Health | COMM | $3,378 |
| Aetna | NBPPO | $3,443 |
| Aetna | COMMPPO | $3,659 |
| Evry Health | BroadNetwork | $3,704 |
| Aetna | OONHMO | $3,893 |
| Aetna | OONPOS | $3,893 |
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