Emergency visit, high (level 4) at Methodist Mansfield Medical Center. CPT 99284.
What Methodist Mansfield Medical Center publishes for this service, straight from its standard-charges file, last updated March 21, 2026.
Outpatient / ER
$775cash price (self-pay)
$2,582list price
$185–$6,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| New Century Hospice [2003] | Mhs Hb Hospice Mmmc | $420 |
| Community Hospice Of Texas [2005] | Mhs Hb Hospice Mmmc | $420 |
| Faith Hospice [2008] | Mhs Hb Hospice Mmmc | $420 |
| Generic Hospice [2011] | Mhs Hb Hospice Mmmc | $420 |
| Heart To Heart Hospice [2012] | Mhs Hb Hospice Mmmc | $420 |
| Hospice Plus [2013] | Mhs Hb Hospice Mmmc | $420 |
| Lions Hospice [2015] | Mhs Hb Hospice Mmmc | $420 |
| Odyssey Hospice [2018] | Mhs Hb Hospice Mmmc | $420 |
| Vista Care Hospice [2023] | Mhs Hb Hospice Mmmc | $420 |
| Vitas Hospice [2024] | Mhs Hb Hospice Mmmc | $420 |
| Vna Hospice [2025] | Mhs Hb Hospice Mmmc | $420 |
| Kindful Health Hospice [4016] | Mhs Hb Hospice Mmmc | $420 |
| Silverado Hospice [4017] | Mhs Hb Hospice Mmmc | $420 |
| Homebound Cardinal Hospice [4019] | Mhs Hb Hospice Mmmc | $420 |
| Ust Health Proof [1005] | Mhs Hb UHC Medicare Complete Mmmc | $420 |
| United Healthcare Medicare Managed Care [3044] | Mhs Hb UHC Medicare C | $420 |
| Globalhealth [1003] | Mhs Hb Global Health Mmmc | $441 |
| Humana Commercial [2051] | Mhs Hb Humana Medicare Mmmc | $445 |
| United Healthcare Managed Care [3021] | Mhs Hb UHC Exchange Mmmc | $449 |
| Oscar Insurance Company [2057] | Mhs Hb Oscar HMO Mmmc | $546 |
| Bright Healthcare [2222] | Mhs Hb Bright Health Mmmc | $588 |
| Molina [3017] | Mhs Hb Molina Marketplace Mmmc | $609 |
| Aetna [3000] | Mhs Hb Aetna Exchange Mmmc | $680 |
| Aetna [3000] | Mhs Hb Aetna Cvs Mmmc | $680 |
| Allied National [2031] | Mhs Hb 90 Degree Mmmc | $693 |
| Entrust/90 Degree [2058] | Mhs Hb 90 Degree Mmmc | $693 |
| Friday Health Plan [2061] | Mhs Hb Friday Health Mmmc | $714 |
| Ambetter Superior [3051] | Mhs Hb Ambetter Superior Mmmc | $718 |
| Cigna [3004] | Mhs Hb Custom Ink Mmmc | $777 |
| Web Tpa [3049] | Mhs Hb Custom Ink Mmmc | $777 |
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