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
LVL 4 EMER DEPT
PASADENA, TX
See all hospitals reporting CPT 99284 →Price type
Hca Houston Healthcare Southeast’s median price of $2.9k is 369% above the median hospital's median price ($629), higher than 96% 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: 10 payers, 38 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 | Molina chip case rate · outpatient | $320.00 | $320.00 | $320.00 – $320.00 |
| 2 | Molina star case rate · outpatient | $320.00 | $320.00 | $320.00 – $320.00 |
| 3 | Molina starkids case rate · outpatient | $320.00 | $320.00 | $320.00 – $320.00 |
| 4 | Molina starplus case rate · outpatient | $320.00 | $320.00 | $320.00 – $320.00 |
| 5 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $1,367 | $1,198 | $858.18 – $1,367 |
| 6 | Blue Cross Blue Shield mybluehealth case rate · outpatient | $1,960 | $1,960 | $1,960 – $1,960 |
| 7 | Humana hmo case rate · outpatient | $2,041 | $2,041 | $2,041 – $2,041 |
| 8 | Humana ppo case rate · outpatient | $2,041 | $2,041 | $2,041 – $2,041 |
| 9 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $2,369 | $2,075 | $1,487 – $2,369 |
| 10 | Aetna qhpexchange case rate · outpatient | $2,242 | $2,242 | $2,242 – $2,242 |
| 11 | Oscar hix case rate · outpatient | $2,436 | $2,436 | $2,436 – $2,436 |
| 12 | UnitedHealthcare narrownetworkindivexchange case rate · outpatient | $2,508 | $2,508 | $2,508 – $2,508 |
| 13 | Blue Cross Blue Shield bav case rate · outpatient | $2,550 | $2,550 | $2,550 – $2,550 |
| 14 | UnitedHealthcare globalappendix percent of total billed charges · outpatientfrom % of charges | $3,046 | $2,668 | $1,912 – $3,046 |
| 15 | UnitedHealthcare smallgroup case rate · outpatient | $2,796 | $2,796 | $2,796 – $2,796 |
| 16 | Healthcare Highways narrownetwork case rate · outpatient | $2,920 | $2,920 | $2,920 – $2,920 |
| 17 | Aetna nbhmo case rate · outpatient | $2,978 | $2,978 | $2,978 – $2,978 |
| 18 | Aetna nbpos case rate · outpatient | $2,978 | $2,978 | $2,978 – $2,978 |
| 19 | First Health comm percent of total billed charges · outpatientfrom % of charges | $3,608 | $3,160 | $2,264 – $3,608 |
| 20 | Aetna commhmo case rate · outpatient | $3,165 | $3,165 | $3,165 – $3,165 |
| 21 | Aetna commpos case rate · outpatient | $3,165 | $3,165 | $3,165 – $3,165 |
| 22 | Blue Cross Blue Shield hmo case rate · outpatient | $3,190 | $3,190 | $3,190 – $3,190 |
| 23 | Blue Cross Blue Shield eposoa case rate · outpatient | $3,280 | $3,280 | $3,280 – $3,280 |
| 24 | Aetna nbppo case rate · outpatient | $3,292 | $3,292 | $3,292 – $3,292 |
| 25 | Blue Cross Blue Shield ppo case rate · outpatient | $3,360 | $3,360 | $3,360 – $3,360 |
Last updated: Mar 1, 2026
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