Emergency visit, high (level 4) at Rolling Plains Memorial Hospital. CPT 99284.
What Rolling Plains Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$226cash price (self-pay)
$815list price
$243–$1,075range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana (Choice Care) | Commercial | $571 |
| United Healthcare | Commercial | $616 |
| Blue Cross and Blue Shield | HMO | $652 |
| Blue Cross and Blue Shield | PPO | $652 |
| Blue Cross and Blue Shield | Traditional | $652 |
| Cigna | Commercial | $657 |
| Aetna | Commercial | $693 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.