Emergency visit, high (level 4) at Permian Regional Medical Center. CPT 99284.
What Permian Regional Medical Center publishes for this service, straight from its standard-charges file, last updated December 3, 2025.
Outpatient / ER
$117cash price (self-pay)
$718list price
$72.70–$1,460range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $121 |
| FirstCare | Managed Medicaid | $224 |
| Blue Cross Blue Shield | Commercial | $341 |
| Humana | Medicare Advantage | $400 |
| Molina Healthcare of Texas | Medicare Advantage | $400 |
| Molina Healthcare of Texas | Marketplace | $400 |
| Molina Healthcare of Texas | Dual Medicare-Medicaid | $400 |
| Blue Cross Blue Shield | Medicare Advantage | $420 |
| Cigna | Commercial | $488 |
| Blue Cross Blue Shield | HMO | $489 |
| Blue Cross Blue Shield | PPO | $514 |
| Humana | Commercial | $538 |
| CapStar Health | Commercial | $574 |
| Aetna | Medicare Advantage | $700 |
| United Healthcare | Commercial/Exchange | $1,460 |
Inpatient
$117cash price (self-pay)
$718list price
$151–$962range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Commercial | $466 |
| Blue Cross Blue Shield | HMO | $466 |
| Blue Cross Blue Shield | PPO | $466 |
| Cigna | Commercial | $488 |
| CapStar Health | Commercial | $574 |
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