Emergency visit, high (level 4) at Northeast Methodist Hospital. CPT 99284.
What Northeast Methodist Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,641cash price (self-pay)
$3,685list 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 |
| Molina Healthcare | CHIP | $320 |
| Molina Healthcare | MCDSTAR | $320 |
| Molina Healthcare | STAR+PLUS | $320 |
| Molina Healthcare | STARKIDS | $320 |
| Amerigroup | CHIP | $363 |
| Amerigroup | MCD | $363 |
| Amerigroup | CHIPBH | $516 |
| Amerigroup | MCDBH | $516 |
| United | OptionsPPO | $925 |
| BCBS | Trad | $1,087 |
| United | SmallGroup | $1,247 |
| United | GlobalBenefitPlan | $1,658 |
| TX Healthcare Foundation | PPO | $1,842 |
| HealthSmart Preferred Care | Accel | $2,027 |
| BCBS | MyBlueHealth | $2,060 |
| United | Charter | $2,068 |
| United | NexusACO | $2,068 |
| Focus Health Solutions | COMM | $2,347 |
| Healthcare Highways | NarrowNetwork | $2,347 |
| BCBS | BlueAdvantage | $2,420 |
| Valenz | NXNetwork | $2,441 |
| United | AllPayerAppendix | $2,444 |
| TML Intergovernmental EBP | PPO | $2,579 |
| Multiplan | PHCSPrimaryNetwork | $2,764 |
| TriWest Health Alliance | TRICARE | $2,764 |
| Aetna | NarrowNetwork | $2,841 |
| DirectCare America | PPO | $2,948 |
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