Emergency visit, high (level 4) at Hca Houston West. CPT 99284.
What Hca Houston West publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,896cash price (self-pay)
$4,896list 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 | $685 |
| BCBS | MyBlueHealth | $760 |
| United | OptionsPPO | $823 |
| BCBS | Bav | $1,000 |
| Texas Workforce Commission | WCOMP | $1,175 |
| Humana | HMO | $1,622 |
| Humana | PPO | $1,622 |
| BCBS | Traditional | $1,714 |
| Christus (USFHP) | TRICARE | $1,958 |
| HealthSmart Preferred Care | ACCEL | $2,105 |
| United | GlobalAppendix | $2,203 |
| Imagine Health | PPO | $2,362 |
| Averde Health | Commercial | $2,500 |
| Coventry National First Health | COMM | $2,536 |
| Physicians Cooperative of Texas | WC | $2,693 |
| Rockport Workers Comp | COMM | $2,693 |
| Healthcare Highways | NarrowNetwork | $2,920 |
| Independent Medical System | COMM | $2,938 |
| National Healthcare Solutions | COMM | $2,938 |
| SouthWest Medical | WORKERSCOMP | $2,938 |
| Triumph | COMM | $2,938 |
| Cigna | CSN | $2,994 |
| Coastal Comp | COMM | $3,182 |
| BCBS | HMO | $3,190 |
| BCBS | Eposoa | $3,280 |
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