Emergency visit, high (level 4) at St. Luke's Health - Patients Medical Center. CPT 99284.

What St. Luke's Health - Patients Medical Center publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,351cash price (self-pay)

$3,861list price

$257–$5,609range insurers pay

Insurance plan	Negotiated rate
CHC \| Medicaid\|All Plans	$257
TCHP \| Medicaid\|All Plans	$257
Wellpoint \| Medicaid\|All Plans	$270
UNITED \| Medicaid\|All Other Plans	$276
UNITED \| Medicaid\|STAR	$370
BCBS \| Medicare\|All Plans	$427
CIGNA-HEALTHSPRING \| Medicare\|All Plans	$427
HUMANA \| Medicare\|All Plans	$427
AETNA \| Medicare\|All Plans	$435
AMERIVANTAGE \| Medicare\|All Plans	$439
DEVOTED \| Medicare\|All Plans	$456
BCBS - TX \| Commercial\|MyBlue Health Exchange	$514
BCBS-TX \| Commercial\|Exchange	$595
Bright Health \| Commercial\|All Plans	$608
Ambetter \| Commercial\|All Plans	$640
Community Health Choice \| Commercial\|Exchange	$640
Wellpoint \| Commercial\|Exchange	$640
BCBS-TX \| Commercial\|Blue Premier	$746
UNITED \| Medicaid\|STARPLUS	$843
BCBS-TX \| Commercial\|HMO	$985
BCBS-TX \| Commercial\|PPO	$1,119
United \| Commercial\|Exchange	$1,333
Cigna \| Commercial\|Surefit	$1,862
United \| Commercial\|Charter	$1,968
Cigna \| Commercial\|HMO	$2,052
Humana \| Commercial\|HMO	$2,160
Humana \| Commercial\|PPO	$2,160
United \| Commercial\|HMO	$2,186
United \| Commercial\|PPO	$2,186
Cigna Lifesource \| Commercial\|Transplant	$2,317

$1,351cash price (self-pay)

$3,861list price

$2,510–$2,896range insurers pay

Insurance plan	Negotiated rate
Coventry \| Commercial\|PPO	$2,510
First Health \| Commercial\|All Plans	$2,510
Cigna \| Commercial\|Transplant	$2,703
Healthsmart \| Commercial\|PPO	$2,703
MultiPlan \| Commercial\|All Plans	$2,896

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