Emergency visit, high (level 4) at Iraan General Hospital. CPT 99284.
What Iraan General Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$137cash price (self-pay)
$683list price
$39.00–$2,063range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $137 |
| Aetna | Commercial | $547 |
| Blue Cross Blue Shield - Tx | Essentials Network Participation | $588 |
| Blue Cross Blue Shield - Tx | Commercial | $615 |
| Blue Cross Blue Shield - Tx | PPO | $615 |
| Superior HealthPlan | Medicare HMO | $788 |
| Superior HealthPlan | Medicare PPO | $788 |
| Superior HealthPlan | Commercial | $1,120 |
| Superior HealthPlan | EPO | $1,120 |
| Superior HealthPlan | HMO | $1,120 |
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