Emergency visit, high (level 4) at Jackson West Medical Center. CPT 99284.
What Jackson West 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 |
|---|---|
| Tricare - All Plans | Tricare - All Plans | $349 |
| Healthsun Mcr Adv - All Plans | Healthsun Mcr Adv - All Plans | $379 |
| Simply Hlth Mcr | Simply Hlth Mcr | $379 |
| Leon Hlth Mcr - All Plans | Leon Hlth Mcr - All Plans | $392 |
| Pace Mcr Adv | Pace Mcr Adv | $392 |
| Humana Mcr Adv | Humana Mcr Adv | $423 |
| Centene Bh Mcr - All Plans | Centene Bh Mcr - All Plans | $436 |
| Doctors Hlthcare Mcr Adv - All Plans | Doctors Hlthcare Mcr Adv - All | $436 |
| Preferred Care - All Plans | Preferred Care - All Plans | $436 |
| UHC Mcr Adv | UHC Mcr Adv | $436 |
| Health Spring - All Plans | Health Spring - All Plans | $436 |
| Sunshine Mcr Adv | Sunshine Mcr Adv | $436 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $449 |
| Comm Care Mcr Adv | Comm Care Mcr Adv | $458 |
| Molina Mcare | Molina Mcare | $479 |
| Gold Kidney - All Plans | Gold Kidney - All Plans | $488 |
| Avmed Exch | Avmed Exch | $606 |
| Amerihealth Exch - All Other Plans | Amerihealth Exch - All Other Plan | $610 |
| Lifesynch Comm - All Other Plans | Lifesynch Comm - All Other Plans | $650 |
| Lifesynch Mcr Adv | Lifesynch Mcr Adv | $650 |
| Avmed Select/First Ntwrk | Avmed Select/First Ntwrk | $844 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $871 |
| BCBS FL Blue Bsl | BCBS FL Blue Bsl | $1,086 |
| Molina Exch - All Other Plans | Molina Exch - All Other Plans | $1,240 |
| UHC Indiv Exch | UHC Indiv Exch | $1,241 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,241 |
| UHC Options PPO | UHC Options PPO | $1,300 |
| Aetna First Hlth | Aetna First Hlth | $1,397 |
| Multiplan - All Plans | Multiplan - All Plans | $1,413 |
| BCBS FL Blue Nwb | BCBS FL Blue Nwb | $1,546 |
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