Emergency visit, high (level 4) at Seymour Hospital. CPT 99284.
What Seymour Hospital publishes for this service, straight from its standard-charges file, last updated January 14, 2026.
Outpatient / ER
$232cash price (self-pay)
$332list price
$216–$949range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare Advantage | Medicare Advantage | $216 |
| United Medicare Advantage | Medicare Advantage | $216 |
| Wellmed | Medicare Advantage | $216 |
| Aetna - Meritain | UNKNOWN | $232 |
| Aetna - HMO/PPO | HMO/PPO/POS | $232 |
| BCBS - HMO/PPO/Blue Advantage | HMO/PPO/Blue Advantage | $266 |
| Cigna - HMO/PPO | HMO/PPO | $266 |
| Galaxy Health Network | HMO/PPO/POS | $266 |
| Texas Medicaid | UNKNOWN | $332 |
| Amerigroup Medicaid | UNKNOWN | $332 |
| Firstcare Medicaid | UNKNOWN | $332 |
| Superior Health | Medicaid | $332 |
| Wellpoint Medicaid | UNKNOWN | $332 |
| Aetna Medicaid | UNKNOWN | $332 |
| Aetna - Medicare Advantage | Medicare Advantage | $370 |
| Triwest | Federal | $370 |
| United HMO/PPO | HMO/PPO | $949 |
| Geha | HMO/PPO/POS | $949 |
Inpatient
$232cash price (self-pay)
$332list price
$232–$854range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna - Meritain | UNKNOWN | $232 |
| Aetna - HMO/PPO | HMO/PPO/POS | $232 |
| BCBS - HMO/PPO/Blue Advantage | HMO/PPO/Blue Advantage | $266 |
| Cigna - HMO/PPO | HMO/PPO | $266 |
| Galaxy Health Network | HMO/PPO/POS | $266 |
| Aetna - Medicare Advantage | Medicare Advantage | $332 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.