Emergency visit, high (level 4) at Refugio County Memorial Hospital. CPT 99284.
What Refugio County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 22, 2026.
Outpatient / ER
$413cash price (self-pay)
$1,399list price
$105–$1,119range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Mcr Adv | UHC Mcr Adv | $560 |
| Humana Mcr Adv-All Plans | Humana Mcr Adv-All Plans | $565 |
| BCBS Blue Adv HMO | BCBS Blue Adv HMO | $909 |
| BCBS Blue/PPO/Trad-All Other Plans | BCBS Blue/PPO/Trad-All Other Plan | $1,021 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $1,119 |
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