Emergency visit, high (level 4) at Hca Florida Mercy Hospital. CPT 99284.
What Hca Florida Mercy Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,784cash price (self-pay)
$5,784list price
$144–$6,941range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CorVel Corporation | WORKERSCOMP | $546 |
| CareWorks (Rockport) | WORKERSCOMP | $557 |
| Prime Health | WORKERSCOMP | $557 |
| Molina | HIX | $800 |
| Freedom Health | MGMCD | $925 |
| Sunshine State Health Plan | QHP | $1,240 |
| United PPO | OptionsPPO | $1,330 |
| BCBS | Mbn | $1,733 |
| Aetna | ASA | $1,735 |
| AvMed | HIX | $1,950 |
| AmeriHealth Caritas | HIX | $2,062 |
| Oscar | HIX | $2,112 |
| BCBS | HMO | $2,144 |
| BCBS | Sbn | $2,144 |
| BCBS | Bslnon-Par | $2,501 |
| BCBS | Phs | $2,501 |
| United | GlobalBenefitPlanAppendix | $2,603 |
| BCBS | Nwb | $2,727 |
| BCBS | PPO | $2,727 |
| AvMed | JacksonFirstNetworkOON | $2,892 |
| AvMed | JHSSelectHMO | $2,892 |
| AvMed | MDCSelectOON | $2,892 |
| Plotkin Health | COMM | $2,892 |
| Prime Health Sherriff | COMM | $2,892 |
| United | AllPayerAppendix | $2,916 |
| Cigna | HMO | $3,143 |
| Cigna | PPO | $3,143 |
| AvMed | FullyInsured | $3,933 |
| Multiplan | COMMPPOPRIMARYNETWORK | $4,338 |
| AvMed | ASOEO | $4,359 |
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