Emergency visit, high (level 4) at Nacogdoches Memorial Hospital. CPT 99284.
What Nacogdoches Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$68.00cash price (self-pay)
$967list price
$125–$1,706range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Advantage | $417 |
| WellMed | Medicare Advantage | $417 |
| HealthSpring | Medicare Advantage | $438 |
| Molina | Medicare Advantange | $438 |
| Blue Cross Blue Shield of Texas | PPO | $532 |
| Blue Cross Blue Shield of Texas | Commercial | $532 |
| Galaxy | PPO | $629 |
| Aetna | Commercial | $774 |
| Blue Cross Blue Shield of Texas | HMO | $774 |
| HealthSmart | Commercial | $774 |
| Phcs | PPO | $774 |
| HIET Benefit Plan | HIET | $967 |
| USA Health Network | Commercial | $1,365 |
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