Emergency visit, high (level 4) at Pampa Regional Medical Center. CPT 99284.
What Pampa Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$665cash price (self-pay)
$3,500list price
$166–$2,800range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Coventry FKA Aetna Workers Compensation | $166 |
| Texas Blue Bonnet Health Plan | Texas Blue Bonnet Health Plan Medicare | $170 |
| Tricare | Tricare | $170 |
| Triwest ( BCBS ) | Triwest BCBS | $170 |
| Molina | Molina Medicare Advantage | $178 |
| PROVIDER PARTNERS HEALTH PLAN | Provider Partners Health Plan Medicare | $178 |
| Imperial Insurance Companies | Imperial Insurance Companies | $180 |
| Employer Direct Healthcare | Employer Direct Healthcare | $238 |
| United Healthcare | UHC Commercial Exchange | $255 |
| Corporate Remedies (WC) | Corporate Remedies Workers Compensation | $255 |
| Texas Blue Bonnet Health Plan | Texas Blue Bonnet Health Plan Commerci | $280 |
| BCBS | BCBS HMO Advantage | $320 |
| BCBS | BCBS HMO | $985 |
| BCBS | BCBS PPO | $1,094 |
| BCBS | BCBS Traditional | $1,094 |
| Molina | Molina Insurance Exchange | $1,133 |
| United Healthcare | UHC Commercial All Payor | $2,631 |
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