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Emergency visit, high (level 4) at Hca Houston Southeast. CPT 99284.

What Hca Houston Southeast publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$6,678cash price (self-pay)
$6,678list price
$300–$6,010range insurers pay
Insurance planNegotiated rate
Molina Healthcare | CHIP$320
Molina Healthcare | STAR$320
Molina Healthcare | STARKIDS$320
Molina Healthcare | STARPLUS$320
Amerigroup | MGMCD$363
BCBS | MyBlueHealth$1,960
Humana | HMO$2,212
Humana | PPO$2,212
BCBS | Traditional$2,337
Imagine Health | PPO$2,362
Averde Health | Commercial$2,500
United | NarrowNetworkIndivExchange$2,508
BCBS | Bav$2,550
Christus (USFHP) | TRICARE$2,671
United | SmallGroup$2,796
HealthSmart Preferred Care | ACCEL$2,872
Healthcare Highways | NarrowNetwork$2,920
BCBS | HMO$3,190
BCBS | Eposoa$3,280
BCBS | PPO$3,360
Coventry National First Health | COMM$3,459
Physicians Cooperative of Texas | WC$3,673
Evry Health | BroadNetwork$3,704
Independent Medical System | COMM$4,007
National Healthcare Solutions | COMM$4,007
Prime Health Services | WORKERSCOMP$4,007
United | AllPayerAppendix$4,027
Curative Administrators | COMM$4,206
Coastal Comp | COMM$4,341
Cigna | CSN$4,545
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All common services at Hca Houston Southeast