Emergency visit, high (level 4) at Methodist Hospital Westover Hills. CPT 99284.
What Methodist Hospital Westover Hills publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,728cash price (self-pay)
$3,728list price
$300–$4,681range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Community First Health Plans | CHIP | $300 |
| Community First Health Plans | CHIPPerinate | $300 |
| Community First Health Plans | MCDSTAR | $300 |
| United | OptionsPPO | $917 |
| BCBS | Trad | $1,100 |
| United | SmallGroup | $1,247 |
| United | GlobalBenefitPlan | $1,678 |
| Oscar | BroadNetworkHIX | $1,882 |
| Oscar | EPO | $1,882 |
| Oscar | POS | $1,882 |
| Oscar | PPO | $1,882 |
| HealthSmart Preferred Care | Accel | $2,050 |
| BCBS | MyBlueHealth | $2,060 |
| United | Charter | $2,068 |
| United | NexusACO | $2,068 |
| Healthcare Highways | NarrowNetwork | $2,347 |
| BCBS | BlueAdvantage | $2,420 |
| Valenz | NXNetwork | $2,441 |
| United | AllPayerAppendix | $2,444 |
| Multiplan | PHCSPrimaryNetwork | $2,796 |
| Aetna | NarrowNetwork | $2,841 |
| Multiplan | ComplementaryNetwork | $3,169 |
| BCBS | BlueEssentials | $3,200 |
| BCBS | BlueEssentialsAccess | $3,200 |
| Aetna | NewBusinessRates | $3,381 |
| Aetna | CommercialBaseNetwork | $3,446 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $3,480 |
| Cigna | NewBusinessNetwork | $3,536 |
| BCBS | PPO | $3,760 |
| Cigna | HMO | $3,876 |
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