Emergency visit, high (level 4) at Calhoun Liberty Hospital Association. CPT 99284.
What Calhoun Liberty Hospital Association publishes for this service, straight from its standard-charges file, last updated August 12, 2026.
Outpatient / ER
$440cash price (self-pay)
$457list price
$104–$450range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare East Region DOS lt 01012025 | Default | $108 |
| Medicare B FL JN | Default | $121 |
| Humana | Medicare Advantage | $144 |
| Medicare A FL JN | Default | $144 |
| United Healthcare | Medicare Advantage | $144 |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $144 |
| Humana | Default | $191 |
| Cigna | Default | $228 |
| United Healthcare | Default | $450 |
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