Emergency visit, high (level 4) at St David's Medical Center. CPT 99284.
What St David's Medical Center 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–$4,381range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare | CHIP | $320 |
| Molina Healthcare | MCDSTAR | $320 |
| Molina Healthcare | STAR+PLUS | $320 |
| Molina Healthcare | STARKIDS | $320 |
| Superior Health Plan | AmbetterEPO | $828 |
| Superior Health Plan | AmbetterHMO | $828 |
| Superior Health Plan | ValueHMO | $828 |
| Humana | HMO | $1,352 |
| Humana | PPO | $1,352 |
| 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 |
| Texas Healthcare Foundation HEB | COMM | $1,801 |
| Texas Healthcare Foundation HEB | WC | $1,801 |
| Texas Workforce Commission | WCOMP | $1,899 |
| Vista 360 | COMM | $2,240 |
| Comanche County | LOCALGOV | $2,434 |
| National ChoiceCare | WC | $2,434 |
| HealthSmart Preferred Care | Accel | $2,677 |
| Independent Medical Systems | COMM | $2,677 |
| Physicians Cooperative of Texas | WC | $2,677 |
| Evry Health | BroadNetwork | $2,894 |
| Prime Health | WC | $2,921 |
| Coastal Comp Health Networks | WORKERSCOMP | $3,164 |
| National Health Care | COMM | $3,164 |
| First Health | PPO | $3,281 |
| Occunet | COMM | $3,408 |
| Texas Municipal League | COMM | $3,408 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.