Emergency visit, high (level 4) at Orlando Health Sebastian River Hospital. CPT 99284.
What Orlando Health Sebastian River Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,126cash price (self-pay)
$5,314list price
$429–$850range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Florida Blue Medicare Managed Care Plan | $429 |
| Optum | Orlando Va Government | $436 |
| Aetna | Medicare Managed Care Plan | $449 |
| Devoted Health | Medicare Managed Care Plan | $458 |
| Careplus | Medicare Managed Care Plan | $466 |
| Simply Healthcare | Medicare Managed Care Plan | $481 |
| Lantern | All Commercial Plans | $763 |
| Ambetter Health | Sunshine Exchange | $784 |
| Aetna | Qhp Exchange | $841 |
| Health First Health Plans | Ifp Exchange | $850 |
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All common services at Orlando Health Sebastian River Hospital