Emergency visit, high (level 4) at Medina Regional Hospital. CPT 99284.
What Medina Regional Hospital publishes for this service, straight from its standard-charges file, last updated July 29, 2026.
Outpatient / ER
$1,342cash price (self-pay)
$1,491list price
$125–$3,587range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community First Health Plan | Managed Medicaid | $125 |
| Amerigroup | Star Plus | $175 |
| Benefit Administrators | Commercial | $192 |
| Amerigroup | CHIP/Managed Medicaid | $200 |
| Cigna | Commercial | $250 |
| United Healthcare | Medicare Advantage | $358 |
| Medicare | Medicare | $358 |
| Superior Health Plan | Medicare Advantage | $365 |
| Community First Health Plan | HIE | $447 |
| Wellpoint | Commercial | $483 |
| Amerivantage | Medicare Advantage | $492 |
| Aetna | Medicare Advantage | $522 |
| Aetna | Managed Medicaid | $537 |
| Superior Health Plan | Commercial HMO/EPO | $578 |
| Blue Advantage | HMO | $746 |
| Aetna | Commercial | $895 |
| United Healthcare | Commercial | $1,118 |
| United Healthcare | Charter | $1,118 |
| Community First Health Plan | HMO | $1,491 |
| Blue Cross Blue Shield of Texas | Traditional/PPO/Blue Essentitals | $1,849 |
| Curative | Commercial EPO/PPO | $3,587 |
Inpatient
$1,342cash price (self-pay)
$1,491list price
$746–$1,342range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Advantage | HMO | $746 |
| Curative | Commercial EPO/PPO | $895 |
| Community First Health Plan | HMO | $1,342 |
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