Emergency visit, high (level 4) at Hendrick Medical Center South. CPT 99284.
What Hendrick Medical Center South publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$2,195cash price (self-pay)
$16,123list price
$1,242–$24,668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Texas | Marketplace | $2,120 |
| Blue Cross Blue Shield of Texas | HMO | $2,240 |
| Cigna | Commercial | $2,310 |
| Blue Cross Blue Shield of Texas | PPO | $2,480 |
| Baylor Scott and White Health Plan | Commercial | $4,563 |
| UMR Hendrick Employee Plan | Commercial | $6,288 |
| United Healthcare | Commercial | $6,385 |
| Blue Cross Blue Shield of Texas | Traditional | $6,772 |
| Aetna | Commercial | $10,158 |
| Healthsmart | Commercial | $12,093 |
| Private Healthcare Systems | Commercial | $12,899 |
| Omni Networks | Commercial | $13,705 |
| MultiPlan | Commercial | $14,350 |
Inpatient
$2,195cash price (self-pay)
$16,123list price
$790–$24,668range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Texas | Marketplace | $2,902 |
| Blue Cross Blue Shield of Texas | HMO | $3,225 |
| Blue Cross Blue Shield of Texas | PPO | $3,386 |
| Baylor Scott and White Health Plan | Commercial | $4,563 |
| United Healthcare | Commercial | $6,466 |
| Blue Cross Blue Shield of Texas | Traditional | $6,772 |
| UMR Hendrick Employee Plan | Commercial | $8,868 |
| Aetna | Commercial | $10,158 |
| Private Healthcare Systems | Commercial | $10,480 |
| Omni Networks | Commercial | $12,093 |
| MultiPlan | Commercial | $14,350 |
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