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

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

Outpatient / ER

$2,831cash price (self-pay)
$2,831list price
$136–$4,359range insurers pay
Insurance planNegotiated rate
Freedom Health | MGMCD$453
CorVel Corporation | WORKERSCOMP$546
CareWorks (Rockport) | WORKERSCOMP$557
Prime Health | WORKERSCOMP$557
United PPO | OptionsPPO$651
Molina | HIX$800
Aetna | ASA$849
Sunshine State Health Plan | QHP$1,261
United | GlobalBenefitPlanAppendix$1,274
AvMed | JacksonFirstNetworkOON$1,416
AvMed | JHSSelectHMO$1,416
AvMed | MDCSelectOON$1,416
Plotkin Health | COMM$1,416
Prime Health Sherriff | COMM$1,416
BCBS | Mbn$1,733
Simply Healthcare | HIX$1,908
United | AllPayerAppendix$1,972
AmeriHealth Caritas | HIX$2,062
Oscar | HIX$2,112
Multiplan | COMMPPOPRIMARYNETWORK$2,123
BCBS | HMO$2,144
BCBS | Sbn$2,144
Multiplan | COMMPPOCOMPLEMENTARYNETWORK$2,406
BCBS | Bslnon-Par$2,501
BCBS | Phs$2,501
BCBS | Nwb$2,727
BCBS | PPO$2,727
Cigna | HMO$3,143
Cigna | PPO$3,143
AIDS Healthcare | MGMCD$3,397
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All common services at Hca Florida Westside Hospital