Emergency visit, high (level 4) at South Austin Medical Center. CPT 99284.
What South Austin Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,745cash price (self-pay)
$3,745list price
$69.23–$4,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | AmbetterEPO | $637 |
| Superior Health Plan | AmbetterHMO | $637 |
| Superior Health Plan | ValueHMO | $637 |
| United | OptionsPPO | $933 |
| Humana | HMO | $1,040 |
| Humana | PPO | $1,040 |
| Cigna Lifesource | COMM | $1,086 |
| IMO Med - Select Network | WC | $1,124 |
| BCBS | Traditional | $1,195 |
| Texas Healthcare Foundation HEB | COMM | $1,386 |
| Texas Healthcare Foundation HEB | WC | $1,386 |
| Texas Workforce Commission | WCOMP | $1,461 |
| Healthcare Highways | EPO | $1,524 |
| Healthcare Highways | PPO | $1,556 |
| Covenant Management Systems | HMO | $1,619 |
| United | GlobalBenefitPlan | $1,685 |
| Emerging Therapy Solutions | MGMCR | $1,835 |
| Comanche County | LOCALGOV | $1,873 |
| National ChoiceCare | WC | $1,873 |
| HealthSmart Preferred Care | Accel | $2,060 |
| Independent Medical Systems | COMM | $2,060 |
| Physicians Cooperative of Texas | WC | $2,060 |
| Prime Health | WC | $2,247 |
| Emerging Therapy Solutions | COMM | $2,359 |
| Coastal Comp Health Networks | WORKERSCOMP | $2,434 |
| National Health Care | COMM | $2,434 |
| First Health | PPO | $2,524 |
| Occunet | COMM | $2,622 |
| Texas Municipal League | COMM | $2,622 |
| MedCorp Southwest | COMM | $2,809 |
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