Emergency visit, high (level 4) at Sarasota Memorial Hospital. CPT 99284.
What Sarasota Memorial Hospital publishes for this service, straight from its standard-charges file, last updated June 30, 2026.
Outpatient / ER
$1,538cash price (self-pay)
$3,921list price
$96.52–$6,211range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Simply Healthcare Oncology UPW | Healthy Kids | $96.52 |
| Simply Healthcare Oncology UPW | Medicaid HMO | $96.52 |
| Sunshine State Oncology UPW | Medicaid HMO | $96.52 |
| Molina Oncology UPW | Healthy Kids | $99.27 |
| Molina Oncology UPW | Medicaid HMO | $99.27 |
| Community Care Plan Oncology UPW | Medicaid HMO | $101 |
| Amerihealth Caritas Oncology UPW | Medicaid HMO | $101 |
| Florida Community Care Oncology UPW | Medicaid HMO | $121 |
| United Healthcare Oncology UPW | Commercial | $122 |
| Blue Cross Oncology UPW | Medicare Advantage | $123 |
| United Healthcare Oncology UPW | Medicare Advantage | $126 |
| Aetna Oncology UPW | Medicare Advantage | $128 |
| WellCare Oncology UPW | Medicare Advantage | $130 |
| Simply Freedom Optimum Oncology UPW | Medicare Advantage | $133 |
| Florida Community Care Oncology UPW | Medicare Advantage | $151 |
| Blue Cross Oncology UPW | Blue Select | $174 |
| Cigna Oncology UPW | Commercial | $184 |
| Blue Cross Oncology UPW | Health Options | $187 |
| Blue Cross Oncology UPW | Network Blue | $197 |
| Blue Cross Oncology UPW | PPC PPO | $201 |
| Blue Cross Oncology UPW | Traditional | $201 |
| Oscar Health Oncology UPW | Individual Exchange | $208 |
| Aetna Oncology UPW | Commercial | $248 |
| AmBetter Oncology UPW | Individual Exchange | $326 |
| United Healthcare | Medicare Advantage | $449 |
| WellCare | Medicare Advantage | $458 |
| Enlyte | Worker's Compensation | $962 |
| Aetna | Worker's Compensation | $962 |
| Careworks | Worker's Compensation | $962 |
| United Healthcare | Options PPO | $2,447 |
Inpatient
$1,568cash price (self-pay)
$3,921list price
$2,447–$3,137range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Options PPO | $2,447 |
| Aetna | Signature | $2,745 |
| Cigna | PPO | $2,823 |
| United Healthcare | Indemnity | $2,945 |
| Aetna | Non-Gatekeeper | $2,968 |
| Aetna | International | $3,137 |
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