Emergency visit, high (level 4) at Hca Houston Tomball. CPT 99284.
What Hca Houston Tomball publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,799cash price (self-pay)
$2,799list 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 | $392 |
| United | OptionsPPO | $470 |
| Humana | HMO | $927 |
| Humana | PPO | $927 |
| BCBS | Traditional | $980 |
| Coventry National First Health | COMM | $991 |
| Christus (USFHP) | TRICARE | $1,120 |
| United | GlobalAppendix | $1,259 |
| BCBS | MyBlueHealth | $1,540 |
| Multiplan | PHCSPrimaryNetwork | $2,099 |
| BCBS | Bav | $2,100 |
| Multiplan | ComplementaryNetwork | $2,379 |
| United | NarrowNetworkIndivExchange | $2,508 |
| United | SmallGroup | $2,796 |
| Healthcare Highways | NarrowNetwork | $2,920 |
| Cigna | CSN | $2,994 |
| Aetna | NBHMO | $3,115 |
| Aetna | NBPOS | $3,115 |
| BCBS | HMO | $3,190 |
| Cigna | OpenAccessPlus | $3,244 |
| BCBS | Eposoa | $3,280 |
| Aetna | COMMHMO | $3,311 |
| Aetna | COMMPOS | $3,311 |
| BCBS | PPO | $3,360 |
| Aetna | NBPPO | $3,443 |
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