Emergency visit, high (level 4) at Hca Florida Fort Walton-destin Hospital. CPT 99284.
What Hca Florida Fort Walton-destin Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,302cash price (self-pay)
$5,400list price
$130–$21,738range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CorVel Corporation | WORKERSCOMP | $504 |
| Prime Health | WC | $515 |
| Careworks (Rockport Community) | WORKERSCOMP | $531 |
| Molina Healthcare | HIX | $960 |
| United | OptionsPPO | $1,112 |
| BCBS | Bsl | $1,346 |
| BCBS | Mbn | $1,346 |
| BCBS | Sbn | $1,346 |
| Sunshine State Health Plan | QHP | $1,514 |
| Aetna | ASA | $1,620 |
| BCBS | HMO | $1,821 |
| BCBS | Nwb | $2,044 |
| BCBS | PPO | $2,044 |
| Simply Healthcare | HIX | $2,328 |
| United | GlobalBenefitPlan | $2,430 |
| AvMed | HIXOON | $2,700 |
| Plotkin Health | COMM | $2,700 |
| Prime Health Sheriff | COMM | $2,700 |
| Prime Health Sheriff | WORKERSCOMP | $2,700 |
| Oscar | HIX | $2,933 |
| Evolutions Healthcare | MANAGEDCAREPPO | $3,510 |
| Naphcare | Prison | $3,510 |
| Multiplan | Primary | $4,212 |
| Multiplan | Complementary | $4,590 |
| PPO Next | COMM | $4,590 |
| PPO Next | PPO | $4,590 |
| Cigna | NBN | $4,595 |
| United | AllPayerAppendix | $4,704 |
| BCBS | Phs | $4,756 |
| Evolutions Healthcare | TRADITIONALPPO | $4,860 |
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All common services at Hca Florida Fort Walton-destin Hospital