Emergency visit, high (level 4) at Pipeline East Dallas LLC. CPT 99284.
What Pipeline East Dallas LLC publishes for this service, straight from its standard-charges file, last updated May 22, 2026.
Outpatient / ER
$1,440cash price (self-pay)
$2,117list price
$147–$2,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Scott and White | EPO/PPO | $147 |
| Amerigroup | CHIP/Medicaid | $280 |
| Amerigroup | Dual Medicare/Medicaid | $419 |
| Amerigroup | Medicare | $419 |
| BCBS of TX | Medicare | $419 |
| Cigna | Medicare | $419 |
| Employer Direct | Commercial | $419 |
| Humana | Medicare/TRICARE | $419 |
| Molina | Dual Medicare/Medicaid | $419 |
| Molina | Medicare | $419 |
| Scott and White | Medicare | $419 |
| Superior Health Plan | EPO | $419 |
| Superior Health Plan | Medicare | $419 |
| Universal American | Dual Medicare/Medicaid | $419 |
| Universal American | Medicare | $419 |
| Wellcare | Medicare | $419 |
| Wellmed | Medicare | $419 |
| Multiplan | Auto | $1,376 |
| Multiplan | Commercial | $1,376 |
| Multiplan | Workers Comp | $1,376 |
| Cigna | Medicaid | $1,524 |
| Molina | CHIP/Medicaid | $1,524 |
| Parkland | Medicaid | $1,524 |
| Superior Health Plan | CHIP/Medicaid | $1,524 |
| Cigna | Commercial | $1,558 |
| BCBS of TX | Blue Advantage | $1,875 |
| BCBS of TX | Blue Essentials | $2,250 |
| BCBS of TX | PPO | $2,500 |
Inpatient
$1,440cash price (self-pay)
$2,117list price
—range insurers pay
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