Emergency visit, high (level 4) at Wolfson Children's Hospital. CPT 99284.
What Wolfson Children's Hospital publishes for this service, straight from its standard-charges file, last updated February 6, 2026.
Outpatient / ER
$2,858cash price (self-pay)
$4,610list price
$134–$20,215range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Corvel | Managed WC | $134 |
| Coventry Workers Comp | Managed WC | $134 |
| Community Hospice of Northeast Florida | Medicare Advantage | $426 |
| Aetna | Medicare Advantage | $434 |
| Florida Community Care | Medicare Advantage | $447 |
| Devoted | Medicare Advantage | $451 |
| UPMC | Medicare Advantage | $468 |
| Ambetter | Marketplace - All Products | $1,022 |
| Aetna | Whole Health | $1,060 |
| BCBS | Medicare Advantage | $1,337 |
| AvMed | Engage & Empower & Entrust | $1,475 |
| Aetna | Gatekeeper | $1,660 |
| Aetna | QHP | $1,660 |
| Aetna | Whole Health -Child | $1,706 |
| Borland Groover | All Products | $1,844 |
| Cigna | HMO | $1,936 |
| Cigna | Gatekeeper New Business | $1,982 |
| Aetna | Non-Gatekeeper | $2,028 |
| Centivo | Select | $2,028 |
| Capital Health Plan | All Products | $2,121 |
| Aetna | SRC and NAP | $2,351 |
| AvMed | All Products | $2,351 |
| AvMed | Engage & Empower & Entrust - Child | $2,397 |
| Cigna | Gatekeeper Non-New Business | $2,591 |
| FSCJ Student Insurance | All Products | $2,766 |
| Cigna | PPO | $2,812 |
| Cigna | NFL | $2,812 |
| BCBS | Managed WC | $2,997 |
| CareSource of Georgia | Managed Medicaid OOS | $2,997 |
| Aetna | ASA | $3,135 |
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