Emergency visit, high (level 4) at Medical City Decatur Hospital. CPT 99284.
What Medical City Decatur Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,180cash price (self-pay)
$4,180list price
$77.04–$5,921range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | CHIP | $77.04 |
| Aetna Better Health | MCD | $77.04 |
| Molina | CHIP | $320 |
| Molina | MCDSTAR | $320 |
| Molina | STAR+PLUS | $320 |
| Molina | STARKIDS | $320 |
| Cigna | IFP | $564 |
| Cigna | QHP | $585 |
| United | OptionsPPO | $715 |
| Healthcare Highways | CityofPlano | $1,413 |
| United | NarrowNetworkIndivExchange | $1,545 |
| Oscar | HIX | $1,708 |
| BCBS | Traditional | $1,730 |
| United | GlobalBenefitPlan | $1,881 |
| United | SmallGroup | $1,937 |
| Aetna | ASA | $2,111 |
| Aetna Coventry First Health | COMM | $2,738 |
| United | AllPayerAppendix | $2,931 |
| BCBS | BlueAdvantageHMO | $3,080 |
| BCBS | MyBlueHealth | $3,080 |
| HealthSmart Preferred Care | PPO | $3,135 |
| Multiplan | PHCSPrimaryNetwork | $3,135 |
| Aetna | NewBusiness | $3,465 |
| Healthcare Highways | NarrowNetwork | $3,542 |
| Multiplan | ComplementaryNetwork | $3,553 |
| Aetna | COMM | $3,702 |
| Aetna | Meritain | $3,702 |
| BCBS | BlueEssentials | $4,180 |
| BCBS | BlueEssentialsAccess | $4,180 |
| Cigna | LocalPlus | $4,189 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.