Emergency visit, high (level 4) at Bacon County Health Services, INC.. CPT 99284.
What Bacon County Health Services, INC. publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$674cash price (self-pay)
$1,292list price
$12.92–$405range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WellCare | Medicare Advantage | $64.19 |
| CareSource | Managed Medicaid | $84.21 |
| WellCare | Managed Medicaid | $84.21 |
| Peach State Health Plan | Managed Medicaid | $85.89 |
| Amerigroup | Individual Network HMO | $86.74 |
| Amerigroup | Blue Value Medicaid | $301 |
| Peach State Health Plan | Commercial Exchange Ambetter | $338 |
| CareSource | Marketplace | $364 |
| CareSource | Medicare Advantage | $405 |
Inpatient
$674cash price (self-pay)
$1,292list price
$1,306–$1,306range insurers pay
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