Emergency visit, high (level 4) at Medical City North Hills Hospital. CPT 99284.
What Medical City North Hills Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,587cash price (self-pay)
$3,587list price
$77.04–$5,296range 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 |
| Amerigroup | CHIP | $363 |
| Amerigroup | MGMCD | $363 |
| Superior Health Plan | MGMCRDualEligible | $546 |
| Superior Health Plan | MGMCRHMO | $546 |
| Superior Health Plan | MGMCRPFFS | $546 |
| Superior Health Plan | MGMCRPOS | $546 |
| Superior Health Plan | MGMCRPPO | $546 |
| Superior Health Plan | MGMCRSNP | $546 |
| Cigna Healthspring | MGMCD | $700 |
| United | NarrowNetworkIndivExchange | $1,545 |
| Oscar | HIX | $1,708 |
| Aetna | ASA | $1,811 |
| United | SmallGroup | $1,937 |
| Cigna Behavioral Health | COMM | $2,161 |
| United | AllPayerAppendix | $2,931 |
| BCBS | BlueAdvantageHMO | $3,220 |
| BCBS | MyBlueHealth | $3,220 |
| Aetna | NewBusiness | $3,465 |
| Healthcare Highways | NarrowNetwork | $3,542 |
| Evry Health | COMM | $3,626 |
| Aetna | COMM | $3,702 |
| Aetna | Meritain | $3,702 |
| Cigna | LocalPlus | $3,746 |
| Cigna | NewBusiness | $3,750 |
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