Emergency visit, high (level 4) at Jay Hospital. CPT 99284.
What Jay Hospital publishes for this service, straight from its standard-charges file, last updated December 23, 2025.
Outpatient / ER
$46.65cash price (self-pay)
$1,800list price
$68.42–$2,076range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellcare | Mcare HMO | $245 |
| Wellcare | Mcare HMO Dual Plan | $245 |
| Bc FL Medicare PPO | All Products | $349 |
| Humana | Gold Plus HMO | $373 |
| Humana | Gold Choice Pffs | $373 |
| Humana | HMO Snp Dual Pln | $373 |
| Aetna | Medicare | $396 |
| Bc FL | Medicare HMO | $396 |
| Humana | Mcare Choice PPO | $396 |
| UHC | Mcare Adv Pln | $396 |
| UHC | Mcare Adv Dual Plan | $396 |
| UHC Community | Mcaid HMO | $450 |
| Wc Corvel | PPO | $782 |
| FL Blue | Truli For Health | $898 |
| Hospice Emerald Coast | All Products | $900 |
| Hospice Regency | All Products | $900 |
| Hospice Vitas | All Products | $900 |
| Cigna/Great West | PPO | $999 |
| Cigna/Great West | Open Access | $1,019 |
| Aetna | Aetna | $1,080 |
| Private Healthcare | PPO | $1,170 |
| FL Blue | My Blue Network | $1,264 |
| First Health | PPO | $1,276 |
| FL Blue | Blue Select | $1,338 |
| FL Blue | Simply Blue Network | $1,338 |
| Multiplan | PPO | $1,602 |
| FL Blue | Health Options HMO | $1,700 |
| UHC Of FL | Neighborhood Plan | $1,742 |
| Cigna | Indemnity | $1,800 |
| FL Blue | Nwb - Blue Options | $1,825 |
Inpatient
$46.65cash price (self-pay)
$1,800list price
$68.42–$1,800range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wc Corvel | PPO | $1,710 |
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