Emergency visit, high (level 4) at Rio Grande Regional Hospital. CPT 99284.
What Rio Grande Regional Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,584cash price (self-pay)
$4,584list price
$320–$8,531range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | CHIP | $320 |
| Molina Healthcare | STAR | $320 |
| Molina Healthcare | STARKIDS | $320 |
| Molina Healthcare | STARPLUS | $320 |
| United | OptionsPPO | $807 |
| Texas Workforce Commission | WORKERSCOMP | $1,100 |
| Humana Valley Market | HMO | $1,153 |
| Humana Valley Market | PPO | $1,153 |
| Allegian Health | CHOICE | $1,500 |
| Averde Health | COMM | $1,513 |
| Allegian Health | COMM | $1,900 |
| HealthSmart Preferred Care | ACCEL | $1,971 |
| HealthSmart Preferred Care | SOUTHTEXASISDRATES | $1,971 |
| BCBS | Traditional | $2,063 |
| United | GlobalBenefitPlan | $2,063 |
| United | AllPayerAppendix | $2,348 |
| First Health | Exclusive | $2,562 |
| First Health | NonExclusive | $2,562 |
| National Healthcare Solutions | COMM | $2,750 |
| SouthWest Medical | WORKERSCOMP | $2,750 |
| BCBS | BlueAdvantage | $2,820 |
| HealthSmart Preferred Care | PPO | $2,842 |
| Healthcare Highways | NarrowNetwork | $2,920 |
| Coastal Comp | COMM | $2,979 |
| Multiplan | PHCSPrimaryNetwork | $3,438 |
| USA Managed Care | COMM | $3,667 |
| Oscar | HIX | $3,685 |
| BCBS | BlueEssentials | $3,740 |
| BCBS | BlueEssentialsAccess | $3,740 |
| BCBS | HealthSelectOpenAccess(EPOSOA) | $3,880 |
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