Emergency visit, high (level 4) at Memorial Medical Center. CPT 99284.
What Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated September 14, 2026.
Outpatient / ER
$420cash price (self-pay)
$1,288list price
$114–$1,135range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triwest Va Pccc-All Plans | Triwest Va Pccc-All Plans | $259 |
| Amerigroup Mcr Adv-All Other Plans | Amerigroup Mcr Adv-All Other Plan | $264 |
| Superior Allwell Mcr Adv-All Other Plans | Superior Allwell Mcr Adv-Al | $264 |
| Universal American Mcr-All Other Plans | Universal American Mcr-All Ot | $264 |
| Care Improvement Plus - All Other Plans | Care Improvement Plus - All | $264 |
| UHC Mcr Adv | UHC Mcr Adv | $264 |
| Care Improvement Plus Mcr | Care Improvement Plus Mcr | $266 |
| Universal American Snp | Universal American Snp | $277 |
| Coventry First Hlth Mcr Adv | Coventry First Hlth Mcr Adv | $279 |
| Superior Hp Ambetter | Superior Hp Ambetter | $343 |
| Multiplan Mcr Adv | Multiplan Mcr Adv | $461 |
| Blue Cross Options | Blue Cross Options | $525 |
| Blue Cross HMO | Blue Cross HMO | $540 |
| Capstar Health Network-All Plans | Capstar Health Network-All Plans | $577 |
| Blue Cross PPO | Blue Cross PPO | $582 |
| Blue Cross Trad-All Other Plans | Blue Cross Trad-All Other Plans | $582 |
| Coventry First Hlth HMO PPO-All Other Plans | Coventry First Hlth HMO | $588 |
| Cigna-All Plans | Cigna-All Plans | $629 |
| Galaxy Health Network-All Plans | Galaxy Health Network-All Plans | $632 |
| Prime Healthcare Services-All Plans | Prime Healthcare Services-All Pl | $661 |
| Amerigroup Star Kids | Amerigroup Star Kids | $665 |
| Amerigroup Star Plus | Amerigroup Star Plus | $665 |
| Comm Health Perinatal-All Other Plans | Comm Health Perinatal-All Othe | $665 |
| Molina Chip/Star-All Plans | Molina Chip/Star-All Plans | $665 |
| Scott & White Chip/Star-All Plans | Scott & White Chip/Star-All Plans | $665 |
| Superior Chip/Star | Superior Chip/Star | $665 |
| UHC Star Plus | UHC Star Plus | $665 |
| UHC Star/Chip | UHC Star/Chip | $665 |
| Amerigroup Star | Amerigroup Star | $665 |
| Comm Health Chip | Comm Health Chip | $665 |
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