Emergency visit, high (level 4) at Unity Health - White County Medical Center. CPT 99284.
What Unity Health - White County Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$234cash price (self-pay)
$936list price
$248–$862range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Advantage | $248 |
| Blue Cross | Health Advantage HMO | $248 |
| Blue Cross | Metallic Exchange Based Product | $248 |
| Blue Cross | PPO | $248 |
| Blue Cross | True Blue PPO | $248 |
| Aetna | Medicare Advantage | $380 |
| Allwell | Medicare Advantage | $384 |
| Cigna Healthspring | Medicare Advantage | $395 |
| Ambetter | All Plans | $551 |
| Cigna | Commercial | $862 |
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All common services at Unity Health - White County Medical Center