Emergency visit, high (level 4) at Medical City Weatherford Hospital. CPT 99284.
What Medical City Weatherford Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,350cash price (self-pay)
$3,350list price
$77.04–$5,296range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | CHIP | $77.04 |
| Aetna Better Health | MCD | $77.04 |
| Amerigroup | CHIP | $363 |
| Amerigroup | MGMCD | $363 |
| Cigna | IFP | $452 |
| Cigna | QHP | $469 |
| Superior Health Plan | MGMCRDualEligible | $545 |
| Superior Health Plan | MGMCRHMO | $545 |
| Superior Health Plan | MGMCRPFFS | $545 |
| Cigna Healthspring | MGMCD | $700 |
| United | OptionsPPO | $784 |
| BCBS | Traditional | $1,387 |
| United | GlobalBenefitPlan | $1,508 |
| United | NarrowNetworkIndivExchange | $1,545 |
| Aetna | ASA | $1,692 |
| Oscar | HIX | $1,708 |
| Aetna Coventry First Health | EXCLUSIVE | $1,920 |
| Aetna Coventry First Health | NONEXCLUSIVE | $1,920 |
| United | SmallGroup | $1,937 |
| HealthSmart Preferred Care | PPO | $2,379 |
| Parker County | LOGOV | $2,513 |
| BCBS | BlueAdvantageHMO | $2,880 |
| United | AllPayerAppendix | $2,931 |
| Aetna | NewBusiness | $2,995 |
| Aetna | COMM | $3,200 |
| Aetna | Meritain | $3,200 |
| Independent Medical Systems | COMM | $3,350 |
| National Healthcare Solutions | COMM | $3,350 |
| Evry Health | COMM | $3,626 |
| Cigna | LocalPlus | $3,746 |
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