Emergency visit, high (level 4) at Limestone Medical Center. CPT 99284.
What Limestone Medical Center publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$504cash price (self-pay)
$1,590list price
$244–$1,272range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Commercial | PPO | $270 |
| BCBS PPO/Traditional | PPO/Traditional | $356 |
| BCBS HMO Blue Advantage | HMO | $356 |
| WellMed Medicare Advantage | Medicare Advantage | $461 |
| United Health - Medicare Advantage | Medicare Advantage | $461 |
| BCBS Medicare Advantage | Medicare Advantage | $461 |
| Humana Medicare Advantage | Medicare Advantage | $461 |
| PPHP | Medicare Advantage | $470 |
| Texas Medicaid | UNKNOWN | $490 |
| UHC Commercial | PPO/HMO | $983 |
| Humana Commercial | PPO/HMO | $1,193 |
| Aetna Commercial | PPO/HMO | $1,272 |
Inpatient
$504cash price (self-pay)
$1,590list price
$519–$1,272range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Commercial | PPO/HMO | $983 |
| Humana Commercial | PPO/HMO | $1,193 |
| Aetna Commercial | PPO/HMO | $1,272 |
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