Emergency visit, high (level 4) at Madison County Memorial Hospital. CPT 99284.
What Madison County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 30, 2026.
Outpatient / ER
$84.46cash price (self-pay)
$204list price
$13.49–$459range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | Commercial | $13.49 |
| Multiplan_complimentary_network | Commercial | $13.49 |
| Clear_alliance | Medicaid | $84.15 |
| Humana_medicaid_advantage_hmo | Medicaid | $84.15 |
| Humana_medicaid_advantage_traditional | Medicaid | $84.15 |
| Lighthouse_medicaid_advantage | Medicaid | $84.15 |
| Magellan | Medicaid | $84.15 |
| Molina_florida_kid_care | Medicaid | $84.15 |
| Molina_medicaid_advantage | Medicaid | $84.15 |
| Prestige_health_choice | Medicaid | $84.15 |
| Simply_health_medicaid_advantage | Medicaid | $84.15 |
| Sunshine_healthy_kids | Medicaid | $84.15 |
| Sunshine_medicaid_advantage | Medicaid | $84.15 |
| Wellcare | Medicaid | $84.15 |
| Youth_services | Medicaid | $84.15 |
| Uhc_medicaid_advantage | Medicaid | $132 |
| Prime_health | Medicare | $151 |
| UHC | Commercial | $459 |
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