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

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

Outpatient / ER

$5,248cash price (self-pay)
$5,588list price
$130–$6,195range insurers pay
Insurance planNegotiated rate
CorVel Corporation | WORKERSCOMP$506
Rockport Healthcare Group | WORKERSCOMP$506
Prime Health | WorkersComp$517
Aetna | QHP$732
United | OptionsPPO$889
Sunshine State Health Plan | QHP$1,535
Humana | HMO$1,621
Humana | PPO$1,621
Aetna | ASA$1,676
Simply Healthcare | HIX$1,870
AmeriHealth Caritas | HIX$2,459
United | GlobalBenefitPlanAppendix$2,515
Plotkin Health | COMM$2,794
Prime Health Sheriff | COMM$2,794
Oscar | HIX$3,102
AvMed | HIX$3,141
Evolutions Healthcare Systems | PrimeTier1$3,186
Evolutions Healthcare Systems | PRIMENETWORK$3,353
Truli | BSL$3,743
BCBS | Bsl$3,921
BCBS | Mbn$3,921
BCBS | Sbn$3,921
Multiplan | PRIMARYPPO$4,191
Cigna | HMO$4,670
Cigna | PPO$4,670
Evolutions Healthcare Systems | ADVANTAGENETWORK$4,750
Evolutions Healthcare Systems | SELECTNETWORK$4,750
Multiplan | COMPLEMENTARYPPO$4,750
BCBS | HMO$5,313
Truli | PPO$5,479
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All common services at Hca Florida Trinity Hospital