Emergency visit, high (level 4) at Texas Health Hospital Mansfield. CPT 99284.
What Texas Health Hospital Mansfield publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,337cash price (self-pay)
$2,337list price
$419–$960range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Medicare Managed Care Plan | $419 |
| Superior Healthplan | Ambetter Exchange | $838 |
| BCBS | PPO | $960 |
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