Emergency visit, high (level 4) at Ochiltree General Hospital. CPT 99284.
What Ochiltree General Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$482cash price (self-pay)
$877list price
$99.00–$959range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $99.00 |
| Aetna | Medicare Advantage | $319 |
| Humana | Medicare Advantage | $319 |
| Superior Health Plan | Commercial | $319 |
| Aetna | Commercial | $745 |
| Blue Cross Blue Shield of Texas | PPO | $789 |
| Blue Cross Blue Shield of Texas | Commercial | $789 |
| Cigna | Commercial | $789 |
| FirstCare | Commercial | $789 |
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