Emergency visit, high (level 4) at Hca Florida Northwest Hospital. CPT 99284.
What Hca Florida Northwest Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,622cash price (self-pay)
$2,291list price
$136–$4,359range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Freedom Health | MGMCD | $366 |
| United PPO | OptionsPPO | $527 |
| CorVel Corporation | WORKERSCOMP | $546 |
| CareWorks (Rockport) | WORKERSCOMP | $557 |
| Prime Health | WORKERSCOMP | $557 |
| Aetna | ASA | $687 |
| Molina | HIX | $800 |
| Blis | Comm | $802 |
| United | GlobalBenefitPlanAppendix | $1,031 |
| AvMed | JacksonFirstNetworkOON | $1,145 |
| Plotkin Health | COMM | $1,145 |
| Prime Health Sherriff | COMM | $1,145 |
| Sunshine State Health Plan | QHP | $1,261 |
| Multiplan | COMMPPOPRIMARYNETWORK | $1,718 |
| BCBS | Mbn | $1,733 |
| Simply Healthcare | HIX | $1,908 |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $1,947 |
| AvMed | HIX | $2,002 |
| 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 | AllPayerAppendix | $2,685 |
| BCBS | Nwb | $2,727 |
| BCBS | PPO | $2,727 |
| Cigna | HMO | $3,143 |
| Cigna | PPO | $3,143 |
| AvMed | FullyInsured | $3,933 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.