Emergency visit, high (level 4) at Palo Pinto General Hospital. CPT 99284.
What Palo Pinto General Hospital publishes for this service, straight from its standard-charges file, last updated July 8, 2026.
Outpatient / ER
$668cash price (self-pay)
$1,336list price
$306–$1,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | EPO | $306 |
| Aetna Medicare Advantage | HMO | $417 |
| Humana Medicare | HMO | $417 |
| Oscar | PPO | $438 |
| BCBS TX PPO | PPO | $440 |
| BCBS TX Blue Advantage | PPO | $443 |
| BCBS TX Blue Essentials | HMO | $461 |
| Ambetter Commercial Exchange | POS | $480 |
| Wellpoint Medicaid | EPO | $556 |
| UHC Community Plan | EPO | $556 |
| Aetna Commercial | PPO | $621 |
| UHC Commercial | PPO | $743 |
| Cigna | PPO | $935 |
| Baylor Scott and White Commercial | POS | $1,500 |
Inpatient
$668cash price (self-pay)
$1,336list price
$445–$1,336range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS TX Blue Essentials | HMO | $445 |
| BCBS TX Blue Advantage | PPO | $445 |
| BCBS TX PPO | PPO | $468 |
| Molina Medicaid | EPO | $949 |
| Wellpoint Medicaid | EPO | $949 |
| UHC Community Plan | EPO | $949 |
| Oscar | PPO | $1,336 |
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