Emergency visit, high (level 4) at St. David's Georgetown. CPT 99284.
What St. David's Georgetown publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,868cash price (self-pay)
$4,868list 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 |
| United | NarrowNetworkHIX | $1,227 |
| Humana | HMO | $1,352 |
| Humana | PPO | $1,352 |
| United | SmallGroup | $1,441 |
| IMO Med - Select Network | WC | $1,460 |
| Healthcare Highways | EPO | $1,524 |
| BCBS | Traditional | $1,553 |
| Healthcare Highways | PPO | $1,556 |
| Covenant Management Systems | HMO | $1,619 |
| MODA Health | EPO | $1,935 |
| MODA Health | PPO | $1,974 |
| BCBS | MyBlueHealth | $2,100 |
| Vista 360 | COMM | $2,240 |
| Moda | Hix | $2,349 |
| Comanche County | LOCALGOV | $2,434 |
| BCBS | BlueAdvantage | $2,460 |
| United | AllPayerAppendix | $2,476 |
| HealthSmart Preferred Care | Accel | $2,677 |
| Independent Medical Systems | COMM | $2,677 |
| Physicians Cooperative of Texas | WC | $2,677 |
| Evry Health | BroadNetwork | $2,894 |
| Coastal Comp Health Networks | WORKERSCOMP | $3,164 |
| National Health Care | COMM | $3,164 |
| BCBS | BlueEssentials | $3,240 |
| BCBS | BlueEssentialsAccess | $3,240 |
| First Health | PPO | $3,281 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.