Emergency visit, moderate (level 3) at Hca Houston Tomball. CPT 99283.
What Hca Houston Tomball publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,351cash price (self-pay)
$2,372list price
$51.36–$4,027range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | MGMCD | $77.04 |
| Texas Childrens Health Plans | CHIP | $128 |
| Texas Childrens Health Plans | STAR | $128 |
| Texas Childrens Health Plans | STARKIDS | $128 |
| Molina Healthcare | CHIP | $200 |
| Molina Healthcare | STAR | $200 |
| Molina Healthcare | STARKIDS | $200 |
| Molina Healthcare | STARPLUS | $200 |
| Amerigroup | MGMCD | $363 |
| United | OptionsPPO | $399 |
| BCBS | MyBlueHealth | $763 |
| Humana | HMO | $786 |
| Humana | PPO | $786 |
| BCBS | Traditional | $830 |
| Coventry National First Health | COMM | $840 |
| Christus (USFHP) | TRICARE | $949 |
| BCBS | Bav | $1,064 |
| United | GlobalAppendix | $1,067 |
| Curative Administrators | COMM | $1,359 |
| Aetna | NBHMO | $1,418 |
| Aetna | NBPOS | $1,418 |
| Aetna | COMMHMO | $1,506 |
| Aetna | COMMPOS | $1,506 |
| BCBS | HMO | $1,519 |
| Evry Health | BroadNetwork | $1,528 |
| BCBS | Eposoa | $1,561 |
| BCBS | PPO | $1,603 |
| Multiplan | PHCSPrimaryNetwork | $1,779 |
| Aetna | ASAHMO | $1,914 |
| Aetna | ASAPOS | $1,914 |
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