Emergency visit, high (level 4) at Medical City Plano Hospital. CPT 99284.
What Medical City Plano Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,451cash price (self-pay)
$4,451list price
$77.04–$5,887range 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 | $601 |
| Cigna | QHP | $623 |
| Cigna Healthspring | MGMCD | $700 |
| LifeCare Hospitals | MGMCD | $1,335 |
| Healthcare Highways | CityofPlano | $1,505 |
| United | NarrowNetworkIndivExchange | $1,545 |
| BCBS | Traditional | $1,843 |
| United | SmallGroup | $1,937 |
| City of McKinney | COMM | $2,003 |
| Aetna | ASA | $2,248 |
| Aetna | WCOMP | $2,448 |
| Averde Health, Inc | PPO | $2,582 |
| Aetna Coventry First Health | EXCLUSIVE | $2,617 |
| Aetna Coventry First Health | NONEXCLUSIVE | $2,617 |
| BCBS | BlueAdvantageHMO | $2,620 |
| BCBS | MyBlueHealth | $2,620 |
| United | AllPayerAppendix | $2,931 |
| Coastal Comp Health Networks | WCOMP | $3,116 |
| HealthSmart Preferred Care | PPO | $3,339 |
| Lewisville Isd/Dls Consulting | Commppo | $3,339 |
| Healthcare Highways | NarrowNetwork | $3,542 |
| Evry Health | COMM | $3,626 |
| BCBS | BlueEssentials | $3,800 |
| BCBS | BlueEssentialsAccess | $3,800 |
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