Emergency visit, high (level 4) at Heart Hospital Of Austin At St Davids Round Rock. CPT 99284.
What Heart Hospital Of Austin At St Davids Round Rock publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,868cash price (self-pay)
$4,868list price
$69.23–$4,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | CHIP | $69.23 |
| Amerigroup | MCD | $69.23 |
| Molina Healthcare | CHIP | $320 |
| Molina Healthcare | MCDSTAR | $320 |
| Molina Healthcare | STAR+PLUS | $320 |
| Molina Healthcare | STARKIDS | $320 |
| United | NarrowNetworkHIX | $1,227 |
| Aetna | NarrowNetwork | $1,297 |
| United | SmallGroup | $1,441 |
| Healthcare Highways | EPO | $1,524 |
| Healthcare Highways | PPO | $1,556 |
| Covenant Management Systems | HMO | $1,619 |
| Aetna | COMM | $1,799 |
| Aetna | Meritain | $1,799 |
| MODA Health | EPO | $1,935 |
| MODA Health | PPO | $1,974 |
| Aetna | ASA | $2,096 |
| BCBS | MyBlueHealth | $2,100 |
| Aetna | OON | $2,116 |
| Vista 360 | COMM | $2,240 |
| Moda | Hix | $2,349 |
| Oscar | EPO | $2,453 |
| BCBS | BlueAdvantage | $2,460 |
| United | AllPayerAppendix | $2,476 |
| Evry Health | BroadNetwork | $2,894 |
| Cigna | NewBusinessNetwork | $2,963 |
| Cigna | HMO | $3,163 |
| Cigna | OpenAccess | $3,163 |
| Cigna | OpenAccessPlus | $3,163 |
| BCBS | BlueEssentials | $3,240 |
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All common services at Heart Hospital Of Austin At St Davids Round Rock