Emergency visit, high (level 4) at Hca Florida Blake Hospital. CPT 99284.
What Hca Florida Blake Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,496cash price (self-pay)
$4,496list price
$130–$6,195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CorVel Corporation | WORKERSCOMP | $506 |
| Rockport Healthcare Group | WORKERSCOMP | $506 |
| Prime Health | WorkersComp | $517 |
| Aetna | QHP | $665 |
| United | OptionsPPO | $715 |
| Humana | HMO | $1,304 |
| Humana | PPO | $1,304 |
| Aetna | ASA | $1,349 |
| Sunshine State Health Plan | QHP | $1,535 |
| AmeriHealth Caritas | HIX | $1,978 |
| United | GlobalBenefitPlanAppendix | $2,023 |
| Simply Healthcare | HIX | $2,118 |
| Plotkin Health | COMM | $2,248 |
| Prime Health Sheriff | COMM | $2,248 |
| AvMed | HIX | $2,528 |
| Evolutions Healthcare Systems | PRIMENETWORK | $2,698 |
| Truli | BSL | $3,179 |
| Evolutions Healthcare Systems | PrimeTier1 | $3,186 |
| BCBS | Bsl | $3,330 |
| BCBS | Mbn | $3,330 |
| BCBS | Sbn | $3,330 |
| Oscar | HIX | $3,365 |
| Multiplan | PRIMARYPPO | $3,372 |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $3,822 |
| Evolutions Healthcare Systems | SELECTNETWORK | $3,822 |
| Multiplan | COMPLEMENTARYPPO | $3,822 |
| Cigna | HMO | $3,951 |
| Cigna | PPO | $3,951 |
| BCBS | HMO | $3,988 |
| Truli | PPO | $4,314 |
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