Emergency visit, high (level 4) at Hca Florida Memorial Hospital. CPT 99284.
What Hca Florida Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$8,267cash price (self-pay)
$8,267list price
$130–$9,216range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| City of Jacksonville | WC | $500 |
| CorVel Corporation | WORKERSCOMP | $500 |
| Prime Health | WORKERSCOMP | $510 |
| Molina Healthcare | HIX | $800 |
| United | OptionsPPO | $1,058 |
| Aetna | QHP | $1,422 |
| Sunshine State Health Plan | QHP | $1,514 |
| BCBS | Mbn | $1,618 |
| Oscar | HIX | $1,729 |
| Simply Healthcare | HIX | $1,851 |
| United | AllPayerAppendix | $1,912 |
| BCBS | HMO | $2,023 |
| BCBS | Sbn | $2,023 |
| Cigna | NBN | $2,029 |
| Aetna | ASA | $2,480 |
| BCBS | Nwb | $2,617 |
| BCBS | PPO | $2,617 |
| Cigna | OAP | $2,680 |
| Cigna | PPO | $2,680 |
| AvMed | HIX | $2,878 |
| AmeriHealth Caritas | HIX | $3,637 |
| United | GlobalBenefitPlanAppendix | $3,720 |
| Plotkin Health | COMM | $4,134 |
| BCBS | Bslnon-Par | $4,729 |
| BCBS | Phs | $4,729 |
| MultiPlan | PRIMARYNETWORK | $6,448 |
| Evernorth | COMM | $6,614 |
| Evolutions Healthcare | MANAGEDCAREPPO | $6,614 |
| Evolutions Healthcare | TRADITIONALPPO | $7,027 |
| MultiPlan | COMPLEMENTARYNETWORK | $7,027 |
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