Emergency visit, high (level 4) at Throckmorton County Memorial Hospital. CPT 99284.
What Throckmorton County Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$150cash price (self-pay)
$397list price
$54.00–$630range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $57.00 |
| Blue Cross Blue Shield | HMO | $268 |
| Cigna | Commercial | $278 |
| Humana | PPO | $278 |
| Blue Cross Blue Shield | PPO | $298 |
| Amerigroup | Medicare Advantage | $373 |
| Blue Cross Blue Shield | Medicare Advantage HMO | $373 |
| Blue Cross Blue Shield | Medicare Advantage PPO | $373 |
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All common services at Throckmorton County Memorial Hospital