Emergency visit, high (level 4) at Medical City Arlington Hospital. CPT 99284.
What Medical City Arlington Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,392cash price (self-pay)
$4,392list price
$77.04–$5,921range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $320 |
| Molina | MCDSTAR | $320 |
| Molina | STAR+PLUS | $320 |
| Molina | STARKIDS | $320 |
| Amerigroup | CHIP | $363 |
| Amerigroup | MGMCD | $363 |
| Cigna | IFP | $593 |
| Cigna | QHP | $615 |
| Cigna Healthspring | MGMCD | $700 |
| Healthcare Highways | CityofPlano | $1,485 |
| United | NarrowNetworkIndivExchange | $1,545 |
| BCBS | Traditional | $1,818 |
| United | SmallGroup | $1,937 |
| City of McKinney | COMM | $1,977 |
| Global Sports Services | COMMPPO | $2,196 |
| Aetna | ASA | $2,218 |
| Aetna | WCOMP | $2,416 |
| Aetna Coventry First Health | COMM | $2,517 |
| Averde Health, Inc | PPO | $2,548 |
| United | AllPayerAppendix | $2,931 |
| Coastal Comp Health Networks | WCOMP | $3,075 |
| Mega Life | MGMCRPPO | $3,075 |
| BCBS | BlueAdvantageHMO | $3,080 |
| BCBS | MyBlueHealth | $3,080 |
| HealthSmart Preferred Care | PPO | $3,119 |
| Lewisville Isd/Dls Consulting | Commppo | $3,294 |
| Healthcare Highways | NarrowNetwork | $3,542 |
| Evry Health | COMM | $3,626 |
| BCBS | BlueEssentials | $4,180 |
| BCBS | BlueEssentialsAccess | $4,180 |
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