Emergency visit, high (level 4) at Hca Florida Lake City Hospital. CPT 99284.
What Hca Florida Lake City Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$8,152cash price (self-pay)
$8,152list price
$130–$11,053range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CorVel Corporation | WORKERSCOMP | $474 |
| Prime Health | WC | $484 |
| Careworks (Rockport Community) | WORKERSCOMP | $499 |
| Molina Healthcare | HIX | $960 |
| BCBS | Bsl | $1,346 |
| BCBS | Mbn | $1,346 |
| BCBS | Sbn | $1,346 |
| Sunshine State Health Plan | QHP | $1,507 |
| Aetna | HMO/PPO | $1,532 |
| BCBS | HMO | $1,821 |
| Simply Healthcare | HIX | $1,870 |
| United | OptionsPPO | $1,924 |
| BCBS | Nwb | $2,044 |
| BCBS | PPO | $2,044 |
| Evolutions | TieredNetwork | $2,315 |
| Aetna | ASA | $2,445 |
| United | AllPayerAppendix | $2,479 |
| Oscar | HIX | $2,640 |
| United | GlobalBenefitPlan | $3,668 |
| AvMed | HIX | $3,914 |
| AvMed | HIXOON | $4,076 |
| Plotkin Health | COMM | $4,076 |
| Prime Health Sheriff | COMM | $4,076 |
| Prime Health Sheriff | WORKERSCOMP | $4,076 |
| Hamilton County Jail | Prison | $4,402 |
| Cigna | NBN | $4,622 |
| BCBS | Phs | $4,756 |
| Multiplan | Primary | $6,358 |
| AvMed | HMOFI | $6,824 |
| Evolutions | TRADITIONALPPO | $6,929 |
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