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Emergency visit, high (level 4) at Winter Haven Hospital. CPT 99284.

What Winter Haven Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$175cash price (self-pay)
$292list price
$52.56–$4,561range insurers pay
Insurance planNegotiated rate
Molina | Medicare HMO$52.56
Simply Healthcare | Medicare HMO$52.56
Ultimate Health Plan | Medicare HMO$87.60
AvMed | Commercial Other$90.52
Blue Cross | Commercial HMO My Blue$93.29
Blue Cross | Commercial HMO Simply Blue$122
Blue Cross | Commercial PPO Blue Select$126
Florida Hospital | Commercial PPO$134
Aetna | Commercial Other$135
Aetna | Commercial HMO$141
AvMed | Commercial$143
Evolutions | Commercial Prime Network Products$146
Blue Cross | Commercial HMO Health Options$149
Cigna | Commercial HMO$154
United Healthcare | Commercial HMO$155
Blue Cross | Commercial PPO Network Blue$157
Blue Cross | Commercial PPO PHS$168
Molina | Commercial Other$173
Evolutions | Commercial PPO International$204
United Healthcare | Commercial PPO$229
Multiplan | Commercial PPO$234
Aetna | Commercial PPO$238
Evolutions | Commercial PPO Select Network$248
First Health | Commercial PPO$248
Cigna | Commercial PPO$254
United Healthcare | Indemnity$263
Evolutions | Commercial PPO Choice$272
United Behavioral Health | Commercial Other$292
Aetna | Medicare PPO$427
BayCarePlus | Medicare HMO$427

Inpatient

$175cash price (self-pay)
$292list price
$164–$4,561range insurers pay
Insurance planNegotiated rate
Molina | Commercial Other$164
Evolutions | Commercial PPO International$204
United Healthcare | Commercial PPO$229
Multiplan | Commercial PPO$234
Aetna | Commercial PPO$238
Evolutions | Commercial PPO Select Network$248
First Health | Commercial PPO$248
Cigna | Commercial PPO$254
United Healthcare | Indemnity$263
Evolutions | Commercial PPO Choice$272
Ambetter | Commercial Select Core$292
Ambetter | Commercial Value$292
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All common services at Winter Haven Hospital