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Emergency visit, high (level 4) at Hca Florida Pasadena Hospital. CPT 99284.

What Hca Florida Pasadena Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$12,812cash price (self-pay)
$12,812list price
$250–$10,890range insurers pay
Insurance planNegotiated rate
Suncoast Neighborly Care | MedicarePACE$250
Sunshine State Health Plan | QHP$1,535
Simply Healthcare | HIX$1,755
Aetna | QHP$2,037
United | OptionsPPO$2,037
United | AllPayerAppendix$2,111
BCBS | HMO$2,394
AvMed | HIX$2,528
Oscar | HIX$3,102
Evolutions Healthcare Systems | PrimeTier1$3,186
Aetna | ASA$3,843
Cigna | HMO$4,670
Cigna | PPO$4,670
AvMed | HMOFI$5,588
AmeriHealth Caritas | HIX$5,637
BCBS | Phs$5,646
AvMed | ASOEO$6,195
Evolutions Healthcare Systems | PRIMENETWORK$6,406
Plotkin Health | COMM$6,406
Prime Health Sheriff | COMM$6,406
Evolutions Healthcare Systems | ADVANTAGENETWORK$9,609
Evolutions Healthcare Systems | SELECTNETWORK$9,609
Multiplan | PRIMARYPPO$9,609
Multiplan | COMPLEMENTARYPPO$10,890
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All common services at Hca Florida Pasadena Hospital