Emergency visit, high (level 4) at Matagorda Regional Medical Center. CPT 99284.
What Matagorda Regional Medical Center publishes for this service, straight from its standard-charges file, last updated January 23, 2026.
Outpatient / ER
$405cash price (self-pay)
$810list price
$454–$2,860range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Medicaid | $454 |
| Comm Care | Medicaid | $454 |
| Molina | Medicaid | $454 |
| Scott & White | Medicaid | $454 |
| Superior | Medicaid | $454 |
| TCStar | Medicaid | $454 |
| Wellpoint | Medicaid | $454 |
| UHC Comm Care | Medicaid | $454 |
| UHC | PPO | $561 |
| Cigna | Commercial | $567 |
| Coventry First Health | PPO | $567 |
| Galaxy Health | PPO | $567 |
| Humana | All PPO POS Plans | $578 |
| Aetna | PPO | $586 |
| Independent Medical System | Commercial | $689 |
| Multiplan PHCS | Commercial | $689 |
| Three Rivers | Commercial | $689 |
| Health Smart | Preferred | $729 |
| USA Managed | Commercial | $729 |
| BCBS | Blue Advantage | $1,520 |
| BCBS | Blue Essentials | $2,560 |
| BCBS | Traditional | $2,860 |
| BCBS | PPO | $2,860 |
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