Emergency visit, high (level 4) at Stephens Memorial Hospital. CPT 99284.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 24, 2026.
Outpatient / ER
$271cash price (self-pay)
$1,093list price
$139–$1,034range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare Advantage | Medicare Advantage | $266 |
| United Healthcare Medicare Advantage | Medicare Advantage | $276 |
| Superior Medicaid | HMO | $494 |
| Firstcare Medicaid | HMO | $494 |
| Amerigroup Medicaid | HMO | $494 |
| Molina Medicaid | HMO | $509 |
| Aetna Better Health Medicaid | HMO | $509 |
| UHC Medicaid Replacement | HMO | $509 |
| Blue Advantage HMO | Advantage HMO | $510 |
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $525 |
| UHC Contract - HMO/PPO/POS | HMO/PPO/POS | $553 |
| Blue Cross HMO | HMO | $592 |
| Blue Cross Traditional | Traditional | $592 |
| Aetna - HMO/PPO/POS | HMO/PPO/POS | $614 |
| Blue Cross PPO/POS | PPO/POS | $1,034 |
Inpatient
$271cash price (self-pay)
$740list price
$275–$874range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna - HMO/PPO/POS | HMO/PPO/POS | $525 |
| Blue Cross PPO/POS | PPO/POS | $592 |
| Blue Cross HMO | HMO | $592 |
| Blue Cross Traditional | Traditional | $592 |
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