Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
VISIT ER IV W/25
Kyle, TX
See all hospitals reporting CPT 99284 →Price type
Ascension Seton’s median price of $413 is 34% below the median hospital's median price ($629), higher than 20% of the 2,555 hospitals reporting CPT 99284. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 71 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield 3597_blue cross chip/star kids (hay) inpatient 20240901 fee schedule · both | $187.45 | $184.59 | $150.89 – $199.88 |
| 2 | Blue Cross Blue Shield 3696_chirp blue cross star (hay) inpatient 20240901 fee schedule · both | $187.45 | $184.59 | $150.89 – $199.88 |
| 3 | Blue Cross Blue Shield 4171_blue cross chip (hay) outpatient 20241201 fee schedule · outpatient | $187.45 | $184.59 | $150.89 – $199.88 |
| 4 | Blue Cross Blue Shield 4171_blue cross chip/star kids (hay) outpatient 20241201 fee schedule · outpatient | $187.45 | $184.59 | $150.89 – $199.88 |
| 5 | Blue Cross Blue Shield 5009_blue cross star kids (hay) outpatient 20241201 fee schedule · outpatient | $187.45 | $184.59 | $150.89 – $199.88 |
| 6 | UnitedHealthcare 3740_chirp uhc star (hay) inpatient 20240901 fee schedule · both | $187.45 | $184.59 | $150.89 – $199.88 |
| 7 | UnitedHealthcare 3751_chirp uhc star plus (hay) inpatient 20240901 fee schedule · both | $187.45 | $184.59 | $150.89 – $199.88 |
| 8 | UnitedHealthcare 4314_uhc star kids (hay) outpatient 20241201 fee schedule · outpatient | $187.45 | $184.59 | $150.89 – $199.88 |
| 9 | UnitedHealthcare 4325_uhc star kids (hay) inpatient 20240901 fee schedule · both | $187.45 | $184.59 | $150.89 – $199.88 |
| 10 | Blue Cross Blue Shield 4222_chirp blue cross star (hay) outpatient 20241201 fee schedule · outpatient | $187.76 | $184.89 | $151.14 – $200.20 |
| 11 | UnitedHealthcare 4256_chirp uhc star (hay) outpatient 20241201 fee schedule · outpatient | $187.76 | $184.89 | $151.14 – $200.20 |
| 12 | UnitedHealthcare 4267_chirp uhc star plus (hay) outpatient 20241201 fee schedule · outpatient | $187.76 | $184.89 | $151.14 – $200.20 |
| 13 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 case rate · both | $200.00 | $200.00 | $200.00 – $200.00 |
| 14 | Superior Healthplan 3512_chirp superior star (hay) inpatient 20240901 case rate · both | $200.00 | $200.00 | $200.00 – $200.00 |
| 15 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 16 | Superior Healthplan 4244_chirp superior star (hay) outpatient 20241201 case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 17 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 case rate · both | $200.00 | $200.00 | $200.00 – $200.00 |
| 18 | Superior Healthplan 4378_chirp superior star plus (hay) inpatient 20240901 case rate · both | $200.00 | $200.00 | $200.00 – $200.00 |
| 19 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 20 | Superior Healthplan 4395_chirp superior star plus (hay) outpatient 20241201 case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 21 | Tricare 1229_tricare cah outpatient 20170101 case rate · outpatient | $315.92 | $315.92 | $315.92 – $315.92 |
| 22 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 case rate · both | $347.57 | $347.57 | $347.57 – $347.57 |
| 23 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 case rate · both | $347.57 | $347.57 | $347.57 – $347.57 |
| 24 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $412.66 | $412.66 | $412.66 – $412.66 |
| 25 | Aetna 4749_medicare advantage aetna outpatient 20250811 other · outpatient | $412.66 | $412.66 | $412.66 – $412.66 |
Last updated: Jan 1, 2026
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