Emergency visit, high (level 4) at Hca Florida Northside Hospital. CPT 99284.
What Hca Florida Northside Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$4,832cash price (self-pay)
$4,832list price
$130–$6,195range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Suncoast Neighborly Care | MedicarePACE | $250 |
| CorVel Corporation | WORKERSCOMP | $506 |
| Rockport Healthcare Group | WORKERSCOMP | $506 |
| Prime Health | WorkersComp | $517 |
| Aetna | QHP | $768 |
| United | OptionsPPO | $768 |
| Humana | HMO | $1,401 |
| Humana | PPO | $1,401 |
| Aetna | ASA | $1,450 |
| Sunshine State Health Plan | QHP | $1,535 |
| Simply Healthcare | HIX | $1,755 |
| AmeriHealth Caritas | HIX | $2,126 |
| United | GlobalBenefitPlanAppendix | $2,175 |
| Plotkin Health | COMM | $2,416 |
| Prime Health Sheriff | COMM | $2,416 |
| Truli | BSL | $2,490 |
| AvMed | HIX | $2,528 |
| BCBS | Bsl | $2,608 |
| BCBS | Mbn | $2,608 |
| BCBS | Sbn | $2,608 |
| Evolutions Healthcare Systems | PRIMENETWORK | $2,658 |
| Oscar | HIX | $3,102 |
| Evolutions Healthcare Systems | PrimeTier1 | $3,186 |
| BCBS | HMO | $3,432 |
| Truli | PPO | $3,480 |
| Multiplan | PRIMARYPPO | $3,624 |
| BCBS | Nwb | $3,645 |
| BCBS | PPO | $3,645 |
| Evolutions Healthcare Systems | ADVANTAGENETWORK | $3,866 |
| Evolutions Healthcare Systems | SELECTNETWORK | $3,866 |
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