Emergency visit, high (level 4) at indian river hospital. CPT 99284.
What indian river hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$784cash price (self-pay)
$3,673list price
$59.76–$2,938range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Independent Living Systems | Medicare Advantage | $132 |
| Clear Spring Health | ALL PRODUCTS | $173 |
| Aetna | PPO First Health | $180 |
| BLUE CROSS | Medicare Advantage PPO | $427 |
| BLUE CROSS | Medicare Advantage HMO | $427 |
| Carelon BH Strategies | MEDICARE ADVANTAGE | $427 |
| Careplus | MEDICARE ADVANTAGE | $427 |
| Freedom Health | MEDICARE ADVANTAGE | $427 |
| HUMANA | Medicare Advantage HMO | $427 |
| United | Medicare Advantage | $427 |
| Aetna | Medicare Advantage | $436 |
| Wellcare | MEDICARE ADVANTAGE | $436 |
| WellMed | MEDICARE ADVANTAGE | $436 |
| Avmed | Medicare Advantage | $445 |
| Independent Living Systems | MEDICARE ADVANTAGE | $449 |
| DEVOTED HEALTH | Medicare Advantage HMO | $479 |
| Aetna | Qhp | $554 |
| Avmed | Exchange | $671 |
| AVMED | Select | $752 |
| United | Nhp | $850 |
| Aetna | All Products | $874 |
| CIGNA | Individual Family Plan | $944 |
| Avmed | Broad | $979 |
| Cigna | Surefit | $1,139 |
| UNITED | International | $1,151 |
| United | All Products | $1,151 |
| Cigna | All Products | $1,168 |
| Blue Cross | Bsl | $1,308 |
| Blue Cross | HMO | $1,308 |
| Blue Cross | Nwbi | $1,710 |
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