Emergency visit, high (level 4) at Wj Mangold Memorial Hospital. CPT 99284.
What Wj Mangold Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$798cash price (self-pay)
$968list price
$256–$625range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TriCare | TriCare | $256 |
| Amerigroup | Medicare Advantage | $397 |
| FirstCare | Medicare | $397 |
| Humana | Medicare Advantage | $397 |
| United HealthCare | Mediare Advantage | $397 |
| FirstCare | Commercial | $414 |
| FirstCare | PPO | $414 |
| Blue Cross Blue Shield | Commercial | $442 |
| Cigna HealthCare | Commercial | $442 |
| TeamChoice | PPO | $442 |
| Aetna Health Inc. | Commercial | $469 |
| United HealthCare | Commercial | $500 |
| Amerigroup | CHIP | $625 |
| Amerigroup | Medicaid | $625 |
| FirstCare | CHIP | $625 |
| FirstCare | Medicaid | $625 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.