Emergency visit, high (level 4) at Hca Florida Capital Hospital. CPT 99284.
What Hca Florida Capital Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$6,215cash price (self-pay)
$6,215list price
$130–$10,991range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CorVel Corporation | WORKERSCOMP | $469 |
| Prime Health | WC | $479 |
| Careworks (Rockport Community) | WORKERSCOMP | $494 |
| Molina Healthcare | HIX | $960 |
| United | OptionsPPO | $1,262 |
| Aetna | HMO/PPO | $1,380 |
| Sunshine State Health Plan | QHP | $1,507 |
| BCBS | Bsl | $1,608 |
| BCBS | Mbn | $1,608 |
| BCBS | Sbn | $1,608 |
| United | AllPayerAppendix | $1,699 |
| Aetna | ASA | $1,865 |
| Capital Health Plan | HIX | $2,002 |
| BCBS | HMO | $2,152 |
| BCBS | Nwb | $2,199 |
| BCBS | PPO | $2,199 |
| Simply Healthcare | HIX | $2,328 |
| Capital Health Plan | HMO | $2,544 |
| United | GlobalBenefitPlan | $2,797 |
| Oscar | HIX | $2,933 |
| AvMed | HIXOON | $3,108 |
| Plotkin Health | COMM | $3,108 |
| Prime Health Sheriff | COMM | $3,108 |
| Prime Health Sheriff | WORKERSCOMP | $3,108 |
| Cigna | NBN | $4,595 |
| BCBS | Phs | $4,756 |
| Multiplan | Primary | $4,848 |
| Evolutions Healthcare | TRADITIONALPPO | $5,283 |
| Multiplan | Complementary | $5,283 |
| PPO Next | COMM | $5,283 |
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