Emergency visit, high (level 4) at Medical City Dallas Hospital. CPT 99284.
What Medical City Dallas Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,227cash price (self-pay)
$3,227list price
$77.04–$5,296range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $320 |
| Molina | MCDSTAR | $320 |
| Molina | STAR+PLUS | $320 |
| Molina | STARKIDS | $320 |
| Optum Health | MCD | $355 |
| Amerigroup | CHIP | $363 |
| Amerigroup | MGMCD | $363 |
| Cigna | IFP | $436 |
| Cigna | QHP | $452 |
| Religious Order of Jehovah Witness | LOGOV | $645 |
| Cigna Healthspring | MGMCD | $700 |
| Healthcare Highways | CityofPlano | $1,091 |
| Prominence Health Plan | HIX | $1,291 |
| BCBS | Traditional | $1,336 |
| City of McKinney | COMM | $1,452 |
| Emerging Therapy Solutions | MCR | $1,581 |
| National ChoiceCare | WCOMP | $1,614 |
| Aetna | ASA | $1,630 |
| Aetna | WCOMP | $1,775 |
| Cigna Lifesource | COMM | $1,775 |
| PC Texas Partners | WCOMP | $1,775 |
| Physicians Coop of TX | MGMCR | $1,775 |
| Rockport Health Group | WORKERSCOMP | $1,775 |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $1,807 |
| Aetna Coventry First Health | EXCLUSIVE | $1,849 |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,849 |
| Averde Health, Inc | PPO | $1,872 |
| Emerging Therapy Solutions | COMM | $2,211 |
| Coastal Comp Health Networks | WCOMP | $2,259 |
| Mega Life | MGMCRPPO | $2,259 |
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