Emergency visit, highest (level 5) at Texoma Medical Center. CPT 99285.
What Texoma Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,416cash price (self-pay)
$4,941list price
$121–$4,680range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior | Medicaid | $121 |
| Molina | Medicaid | $125 |
| Tchp Star | Medicaid | $125 |
| UHC Star Plus | Medicaid | $249 |
| Wellpt Amgrp Str Pls | Medicaid | $249 |
| Superior Hlth Str Pls | Medicaid | $254 |
| Molina Star Plus | Medicaid | $262 |
| Wellpoint Starkids | Medicaid | $277 |
| Amerigroup | Medicaid | $418 |
| UHC Star | Medicaid | $418 |
| Superior Star | Medicaid | $426 |
| Tchp | Medicaid | $439 |
| Oklahoma | Medicaid | $511 |
| Healthchoice | Managed_care | $766 |
| Aetna | Managed_care | $1,260 |
| Coventry_healthfirst | Managed_care | $1,285 |
| Cigna | HMO | $2,029 |
| Multiplan | Managed_care | $2,633 |
| Humana | Managed_care | $2,880 |
| UHC Exchange | Qhp | $3,114 |
| Blue_cross_blue_shield_of_tx | Qhp | $3,320 |
| United_healthcare | Managed_care | $3,334 |
| Healthsmart | Managed_care | $3,705 |
| Blue_cross_blue_shield_of_tx | HMO | $4,440 |
| Blue_cross_blue_shield_of_tx | PPO | $4,680 |
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