Emergency visit, high (level 4) at Sweeny Community Hospital. CPT 99284.
What Sweeny Community Hospital publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$741cash price (self-pay)
$1,235list price
$280–$1,198range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup Mcaid | Amerigroup Mcaid | $280 |
| Bcbstx Blue Adv | Bcbstx Blue Adv | $370 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $425 |
| UHC Compass Payer | UHC Compass Payer | $425 |
| Bcbstx Blue Essentials | Bcbstx Blue Essentials | $432 |
| Aetna - All Other Plans | Aetna - All Other Plans | $445 |
| Cigna - All Plans | Cigna - All Plans | $500 |
| Bcbstx Traditional/PPO - All Other Plans | Bcbstx Traditional/PPO - Al | $617 |
| Evercare Mcaid | Evercare Mcaid | $617 |
| UHC Mcr Adv | UHC Mcr Adv | $667 |
| Coventry Mcr Adv | Coventry Mcr Adv | $716 |
| Molina Mcr Adv - All Other Plans | Molina Mcr Adv - All Other Plans | $716 |
| Wellcare Mcare - All Plans | Wellcare Mcare - All Plans | $716 |
| Aetna Mcr Adv | Aetna Mcr Adv | $716 |
| Amerigroup Mcr Adv - All Other Plans | Amerigroup Mcr Adv - All Other | $716 |
| Community Hlth Choice Him - All Other Plans | Community Hlth Choice Hi | $716 |
| Superior Hp Mcr Adv-All Other Plans | Superior Hp Mcr Adv-All Other Pl | $716 |
| Care Improvement Mcr - All Plans | Care Improvement Mcr - All Plans | $723 |
| Choicecare Mcr Adv - All Plans | Choicecare Mcr Adv - All Plans | $723 |
| Humana HMO | Humana HMO | $741 |
| Humana PPO - All Other Plans | Humana PPO - All Other Plans | $803 |
| Community Hlth Choice Star | Community Hlth Choice Star | $822 |
| TX Chlidrens Hp Mcaid - All Plans | TX Chlidrens Hp Mcaid - All Plans | $822 |
| TX True Choice Mcaid - All Plans | TX True Choice Mcaid - All Plans | $822 |
| Molina Mcaid | Molina Mcaid | $822 |
| Superior Hp Mcaid | Superior Hp Mcaid | $822 |
| Beech Street - All Plans | Beech Street - All Plans | $926 |
| Community Care Network - All Plans | Community Care Network - All Plan | $988 |
| Galaxy Health Network - All Plans | Galaxy Health Network - All Plans | $1,111 |
| Multiplan - All Plans | Multiplan - All Plans | $1,111 |
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