Emergency visit, high (level 4) at Palacios Community Medical Center. CPT 99284.
What Palacios Community Medical Center publishes for this service, straight from its standard-charges file, last updated February 1, 2026.
Outpatient / ER
$377cash price (self-pay)
$1,486list price
$200–$1,346range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Sheild | BAV | $460 |
| Blue Cross Blue Shield | PAR | $540 |
| Blue Cross Blue Shield | PPO | $540 |
| Aetna Health Inc. | Medicare Advantage | $788 |
| Molina | Medicare Advantage | $788 |
| Aetna Health Inc. | Commercial | $1,115 |
| Blue Cross Blue Shield | Managed Medicaid | $1,346 |
| Community Health Choice | Managed Medicaid | $1,346 |
| Molina | Managed Medicaid | $1,346 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.