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Emergency visit, high (level 4) at Gulf Breeze Hospital. CPT 99284.

What Gulf Breeze Hospital publishes for this service, straight from its standard-charges file, last updated December 23, 2025.

Outpatient / ER

$825cash price (self-pay)
$5,500list price
$334–$5,500range insurers pay
Insurance planNegotiated rate
Bc FL Medicare PPO | All Products$334
Hospice Covenant | All Products$427
UHC | Mcare Adv Dual Plan$430
UHC | Mcare Adv Pln$430
Humana | Mcare Choice PPO$436
Humana | Gold Choice Pffs$436
Humana | HMO Snp Dual Pln$436
Humana | Gold Plus HMO$436
Wellcare | Mcare HMO Dual Plan$449
Wellcare | Mcare HMO$449
Aetna | Medicare$535
FL Blue | Truli For Health$714
Pensacola | Christian Coll$825
FL Blue | My Blue Network$1,147
Bc FL | Medicare HMO$1,372
UHC Community | Mcaid HMO$1,375
FL Blue | Simply Blue Network$1,386
FL Blue | Blue Select$1,386
FL Blue | Health Options HMO$1,583
Hospice Regency | All Products$1,650
FL Blue | Nwb - Blue Options$1,886
UHC Of FL | POS/HMO$2,100
FL Blue | Ppc-Blue Choice$2,232
FL Blue | Indemnity$2,235
Wc Corvel | PPO$2,350
Cigna/Great West | PPO$2,613
Hospice Emerald Coast | All Products$2,750
Cigna/Great West | Open Access$3,295
Private Healthcare | PPO$3,575
Uwf Athletes | All Products$3,575

Inpatient

$825cash price (self-pay)
$5,500list price
$622–$5,500range insurers pay
Insurance planNegotiated rate
Wc Corvel | PPO$5,225
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All common services at Gulf Breeze Hospital