Emergency visit, high (level 4) at St. David's Surgical Hospital. CPT 99284.
What St. David's Surgical Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,865cash price (self-pay)
$4,865list price
$827–$4,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | NarrowNetworkHIX | $1,227 |
| Aetna | NarrowNetwork | $1,297 |
| Humana | HMO | $1,352 |
| BCBS | Traditional | $1,435 |
| United | SmallGroup | $1,441 |
| Healthcare Highways | EPO | $1,524 |
| Healthcare Highways | PPO | $1,556 |
| Covenant Management Systems | HMO | $1,619 |
| Aetna | COMM | $1,799 |
| Aetna | Meritain | $1,799 |
| MODA Health | EPO | $1,935 |
| MODA Health | PPO | $1,974 |
| Aetna | ASA | $2,096 |
| BCBS | MyBlueHealth | $2,100 |
| Aetna | OON | $2,116 |
| Moda | Hix | $2,349 |
| Comanche County | LOCALGOV | $2,433 |
| Oscar | EPO | $2,453 |
| Oscar | POS | $2,453 |
| Oscar | PPO | $2,453 |
| BCBS | BlueAdvantage | $2,460 |
| United | AllPayerAppendix | $2,476 |
| Oscar | HIX | $2,858 |
| Oscar | HMO | $2,858 |
| Evry Health | BroadNetwork | $2,894 |
| Cigna | NewBusinessNetwork | $2,963 |
| Cigna | HMO | $3,163 |
| Cigna | OpenAccess | $3,163 |
| Cigna | OpenAccessPlus | $3,163 |
| First Health | PPO | $3,235 |
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