Emergency visit, highest (level 5) at Lake Granbury Medical Center. CPT 99285.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,574cash price (self-pay)
$8,746list price
$167–$10,290range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $250 |
| NODE Tricare | NODE Tricare | $568 |
| NODE ChampVA | NODE ChampVA | $598 |
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $1,189 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $1,189 |
| Medicaid | NODE TX Medicaid | $1,189 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $1,189 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $1,189 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $1,189 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $1,189 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $1,249 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $1,249 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $1,249 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $1,368 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $1,368 |
| Superior | NODE Superior STAR Medicaid TX | $1,368 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $1,368 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $1,618 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $1,618 |
| BCBS TX | BCBS TX Blue ADV | $1,816 |
| BCBS TX | BCBS TX HMO | $1,911 |
| BCBS TX | BCBS TX PPO Trad | $1,911 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $2,204 |
| Cigna | Cigna New Business | $2,221 |
| Cigna | Cigna ALL | $3,446 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $3,687 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $3,872 |
| Aetna | Aetna Whole Health | $3,979 |
| Aetna | Aetna NBD | $4,198 |
| Aetna | NODE Aetna STAR Medicaid TX | $4,282 |
Inpatient
$2,361cash price (self-pay)
$8,746list price
$962–$10,290range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $962 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $2,204 |
| Cigna | Cigna New Business | $2,221 |
| United Healthcare | UHC APA | $3,718 |
| Aetna | Aetna Whole Health | $3,979 |
| Aetna | Aetna NBD | $4,198 |
| Aetna | Aetna PPO HMO | $4,679 |
| Healthsmart | Healthsmart ACCEL | $4,810 |
| Aetna | Aetna NAB First Health Rental | $4,976 |
| Aetna | Aetna Auto | $6,009 |
| Healthsmart | Healthsmart PPO HPO | $6,122 |
| Santa Fe Hospital Association | Santa Fe Hospital Association | $6,997 |
| Multiplan | Multiplan Complementary | $7,696 |
| Galaxy Health | Galaxy Health PPO | $8,309 |
| MedCorp Southwest | MedCorp Southwest | $8,309 |
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