Emergency visit, high (level 4) at Lee Memorial Hospital. CPT 99284.
What Lee Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$913cash price (self-pay)
$4,567list price
$1,827–$3,654range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS [210001] | Bc FL PPO [21000101] | $2,015 |
| Lee Health Care Partners [250255] | Key Benefit Admin [25025501] | $2,284 |
| United Healthcare [210402] | United HMO/PPO [21040201] | $2,443 |
| Wellpoint [250265] | Wellpoint Florida [25026501] | $2,466 |
| Cigna [210201] | Cigna HMO/PPO [21020101] | $2,676 |
| Avmed Health Plan [250204] | Avmed Health Plan Contracted [25020401] | $2,695 |
| Aetna [210101] | Aetna PPO [21010105] | $2,845 |
| Global Excel Management [250241] | Global Excel Contracted [25024101] | $2,969 |
| Claritev/Multiplan [250223] | Claritev Multiplan Network [25022301] | $3,654 |
Inpatient
$332cash price (self-pay)
$443list price
$109–$443range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare [250503] | BCBS Medicare Replacement [25050301] | $109 |
| Aetna Coventry Mcr Replacement [250518] | Aetna Medicare [25051801] | $114 |
| Align Senior Care [250524] | Align Medicare Replacement [25052401] | $114 |
| Wellcare Health Plan [250516] | Medicare Replacement [25051601] | $114 |
| Freedom Health [250505] | Freedom Hlth Medicare Replacement [25050501] | $114 |
| Humana Gold [250508] | Pffs Medicare Replacement [25050801] | $116 |
| Cigna Mcr HMO/PPO [250525] | Medicare Replacement [25052501] | $134 |
| United Health Mcr HMO/PPO [250515] | UHC Medicare Replacement [2505150 | $137 |
| Avmed Health Plan [250204] | Avmed Health Plan Contracted [25020401] | $147 |
| United Healthcare [210402] | United HMO/PPO [21040201] | $152 |
| BCBS [210001] | Bc FL PPO [21000101] | $155 |
| Humana [250215] | Humana PPO [25021501] | $166 |
| Aetna [210101] | Aetna PPO [21010105] | $167 |
| Cigna [210201] | Cigna HMO/PPO [21020101] | $169 |
| Lee Health Care Partners [250255] | Key Benefit Admin [25025501] | $266 |
| Wellpoint [250265] | Wellpoint Florida [25026501] | $443 |
| Aetna Better Health [210102] | Aetna Healthy Kids [21010201] | $443 |
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