Emergency visit, high (level 4) at Medical City Sachse Hospital. CPT 99284.
What Medical City Sachse 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
$320–$5,887range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | CHIP | $320 |
| Molina | MCDSTAR | $320 |
| Molina | STAR+PLUS | $320 |
| Molina | STARKIDS | $320 |
| Superior Health Plan | MGMCRDualEligible | $545 |
| Superior Health Plan | MGMCRHMO | $545 |
| Superior Health Plan | MGMCRPFFS | $545 |
| Cigna | IFP | $601 |
| Cigna | QHP | $623 |
| United | OptionsPPO | $752 |
| Healthcare Highways | CityofPlano | $1,505 |
| United | NarrowNetworkIndivExchange | $1,545 |
| Oscar | HIX | $1,708 |
| BCBS | Traditional | $1,843 |
| United | SmallGroup | $1,937 |
| United | GlobalBenefitPlan | $2,003 |
| Aetna | ASA | $2,248 |
| 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 |
| Multiplan | PHCSPrimaryNetwork | $3,339 |
| Healthcare Highways | NarrowNetwork | $3,542 |
| Multiplan | ComplementaryNetwork | $3,784 |
| BCBS | BlueEssentials | $3,800 |
| BCBS | BlueEssentialsAccess | $3,800 |
| BCBS | Eposoa | $4,000 |
| Aetna | NewBusiness | $4,128 |
| Cigna | LocalPlus | $4,165 |
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