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Emergency visit, high (level 4) at Ucf Lake Nona Hospital. CPT 99284.

What Ucf Lake Nona Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$9,748cash price (self-pay)
$9,748list price
$130–$8,773range insurers pay
Insurance planNegotiated rate
CorVel Corporation | WORKERSCOMP$500
Prime Health | WC$511
Molina Healthcare | HIX$960
Sunshine State Health Plan | QHP$1,514
United | AllPayerAppendix$2,181
Evolutions | TieredNetwork$2,315
Aetna | HMO/PPO$2,320
Simply Healthcare | HIX$2,328
Aetna | ASA$2,924
Oscar | HIX$3,279
AvMed | HIX$3,629
Cigna | ManagedCareHMO$3,637
Cigna | PPO$3,637
BCBS | Bsl$3,815
BCBS | Mbn$3,815
BCBS | Sbn$3,815
United | OptionsPPO$3,938
United | GlobalBenefitPlan$4,387
AmeriHealth Caritas | HIX$4,874
AvMed | HIXOON$4,874
Plotkin Health | COMM$4,874
Prime Health Sheriff | COMM$4,874
Prime Health Sheriff | WORKERSCOMP$4,874
BCBS | HMO$5,634
BCBS | Phs$5,634
BCBS | Nwb$6,146
BCBS | PPO$6,146
AvMed | HMOFI$7,010
AvMed | ASOEO$7,774
NovaNet | COMM$8,773
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All common services at Ucf Lake Nona Hospital