Emergency visit, high (level 4) at Round Rock Medical Center. CPT 99284.
What Round Rock Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,135cash price (self-pay)
$4,135list price
$69.23–$4,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | CHIP | $320 |
| Molina Healthcare | MCDSTAR | $320 |
| Molina Healthcare | STAR+PLUS | $320 |
| Molina Healthcare | STARKIDS | $320 |
| Humana | HMO | $1,149 |
| Humana | PPO | $1,149 |
| United | NarrowNetworkHIX | $1,227 |
| IMO Med - Select Network | WC | $1,241 |
| BCBS | Traditional | $1,319 |
| United | SmallGroup | $1,441 |
| Healthcare Highways | EPO | $1,524 |
| Healthcare Highways | PPO | $1,556 |
| Covenant Management Systems | HMO | $1,619 |
| MODA Health | EPO | $1,935 |
| MODA Health | PPO | $1,974 |
| Comanche County | LOCALGOV | $2,068 |
| National ChoiceCare | WC | $2,068 |
| BCBS | MyBlueHealth | $2,100 |
| Vista 360 | COMM | $2,240 |
| HealthSmart Preferred Care | Accel | $2,274 |
| Independent Medical Systems | COMM | $2,274 |
| Moda | Hix | $2,349 |
| BCBS | BlueAdvantage | $2,460 |
| United | AllPayerAppendix | $2,476 |
| Coastal Comp Health Networks | WORKERSCOMP | $2,688 |
| First Health | PPO | $2,787 |
| Evry Health | BroadNetwork | $2,894 |
| MedCorp Southwest | COMM | $3,101 |
| Multiplan | PHCSPrimaryNetwork | $3,101 |
| BCBS | BlueEssentials | $3,240 |
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