Emergency visit, high (level 4) at Hca Florida Raulerson Hospital. CPT 99284.
What Hca Florida Raulerson Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,106cash price (self-pay)
$3,106list price
$130–$9,710range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CorVel Corporation | WORKERSCOMP | $474 |
| CareWorks (Rockport) | WORKERSCOMP | $484 |
| Prime Health | WORKERSCOMP | $484 |
| Molina | HIX | $800 |
| Aetna | ASA | $932 |
| United PPO | OptionsPPO | $1,329 |
| AmeriHealth Caritas | HIX | $1,367 |
| United | GlobalBenefitPlanAppendix | $1,398 |
| Sunshine State Health Plan | QHP | $1,503 |
| AvMed | JacksonFirstNetworkOON | $1,553 |
| Plotkin Health | COMM | $1,553 |
| Prime Health Sherriff | COMM | $1,553 |
| AvMed | HIX | $2,002 |
| Multiplan | COMMPPOPRIMARYNETWORK | $2,330 |
| Multiplan | COMMPPOCOMPLEMENTARYNETWORK | $2,640 |
| Simply Healthcare | HIX | $3,378 |
| Oscar | HIX | $4,183 |
| BCBS | Bslnon-Par | $4,679 |
| BCBS | Phs | $4,679 |
| BCBS | Mbn | $4,714 |
| Cigna | NewBusinessNBN | $5,387 |
| BCBS | HMO | $5,652 |
| BCBS | Sbn | $5,652 |
| BCBS | Nwb | $5,654 |
| BCBS | PPO | $5,654 |
| United | AllPayerAppendix | $6,016 |
| Cigna | HMO | $7,272 |
| Cigna | PPO | $7,272 |
| AvMed | Empower | $8,755 |
| AvMed | Engage | $8,755 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.