Doctor visits and therapy CPT 99284 Outpatient

Level 4 ER visit cost in Carthage, TX

In Carthage, TX, 1 hospital lists a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $312.00 to $312.00, with a median of $312.00. Across Texas, the median is $1,309.76 at 287 hospitals.

Cash prices at 1 facility for code 99284, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 29, 2026; the hospital files themselves were last updated between — and —.

Lowest$312.00UT Health East Texas Carthage Hospital
Median$312.00half of hospitals charge less
Highest$312.00in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
UT Health East Texas Carthage Hospital Carthage, TX · (903) 693-3841 Emergency department visit with moderate level of medical decision making source file $312.00 $3,120.00 $401.77–$1,965.60 90%
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Outpatient: lowest $312.00, median $312.00, highest $312.00.

As an inpatient, the same code is billed by 1 facility here, median $312.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the fourth of five emergency department visit levels, used for a problem of moderate complexity, often one that needs several tests, imaging or medicines. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.

What the price covers

The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.