Emergency visit, high (level 4) at Jackson South Medical Center. CPT 99284.
What Jackson South Medical Center publishes for this service, straight from its standard-charges file, last updated September 23, 2026.
Outpatient / ER
$387cash price (self-pay)
$2,317list price
$349–$3,638range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthsun Mcr Adv - All Plans | Healthsun Mcr Adv - All Plans | $379 |
| Simply Hlth Mcr | Simply Hlth Mcr | $379 |
| Avmed Mcr Adv | Avmed Mcr Adv | $414 |
| Health Spring - All Plans | Health Spring - All Plans | $436 |
| Sunshine Mcr Adv | Sunshine Mcr Adv | $436 |
| Va Ccn - All Plans | Va Ccn - All Plans | $436 |
| Centene Bh Mcr - All Plans | Centene Bh Mcr - All Plans | $436 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $449 |
| Comm Care Mcr Adv | Comm Care Mcr Adv | $458 |
| Ambetter Exch - All Plans | Ambetter Exch - All Plans | $479 |
| Align Mcr Adv - All Plans | Align Mcr Adv - All Plans | $488 |
| Gold Kidney - All Plans | Gold Kidney - All Plans | $488 |
| Carelon Bh Mcaid | Carelon Bh Mcaid | $546 |
| Avmed Exch | Avmed Exch | $606 |
| Amerihealth Exch - All Other Plans | Amerihealth Exch - All Other Plan | $610 |
| Aetna Exchange | Aetna Exchange | $840 |
| Claimdoc - All Plans | Claimdoc - All Plans | $850 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $871 |
| Aetna International | Aetna International | $1,072 |
| BCBS FL Blue Bsl | BCBS FL Blue Bsl | $1,086 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $1,125 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,241 |
| UHC Options PPO | UHC Options PPO | $1,300 |
| BCBS FL Blue HMO | BCBS FL Blue HMO | $1,317 |
| Aetna First Hlth | Aetna First Hlth | $1,397 |
| Cigna Surefit Ifp | Cigna Surefit Ifp | $1,462 |
| BCBS FL Blue Nwb | BCBS FL Blue Nwb | $1,546 |
| Molina Kidcare | Molina Kidcare | $1,622 |
| Cigna Bh | Cigna Bh | $1,668 |
| Velocity - All Plans | Velocity - All Plans | $1,738 |
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