Emergency visit, high (level 4) at CHI Memorial Hospital - Georgia. CPT 99284.
What CHI Memorial Hospital - Georgia publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$529cash price (self-pay)
$1,788list price
$268–$1,521range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State | Medicaid|All Plans | $268 |
| CareSource | Medicaid|All Plans | $358 |
| Wellcare | Medicaid|All Plans | $358 |
| Aetna | Medicare|All Plans | $381 |
| BCBS - GA | Medicare|BlueCare | $392 |
| Cigna | Medicare|Healthspring | $400 |
| Humana | Medicare|HMO | $404 |
| Amerigroup | Medicare|All Plans | $407 |
| Humana | Medicare|All Other Plans | $419 |
| Amerigroup | Medicaid|All Plans | $420 |
| Health One Alliance | Commercial|All Plans | $614 |
| BCBS - GA | Commercial|Pathway | $646 |
| Centene | Commercial|Ambetter Exchange | $651 |
| Alliant Health | Commercial|All Plans | $659 |
| Multiplan | Commercial|All Plans | $692 |
| BCBS - GA | Commercial|All Other Plans | $932 |
| BCBS - GA | Commercial|HMO | $932 |
| Employers Health Network | Commercial|All Plans | $1,024 |
| Cigna | Commercial|LocalPlus | $1,095 |
| BCBS - TN | Commercial|Network S | $1,174 |
| Cigna | Commercial|Open Access | $1,219 |
| Humana | Commercial|All Plans | $1,222 |
| United | Commercial|Non-Options | $1,354 |
| United | Commercial|Options | $1,354 |
| Aetna | Commercial|All Other Plans | $1,448 |
| Aetna | Commercial|HMO | $1,448 |
| Aetna | Commercial|PPO | $1,448 |
| BCBS - TN | Commercial|Network P | $1,521 |
Inpatient
$529cash price (self-pay)
$1,788list price
$1,448–$1,448range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial|All Other Plans | $1,448 |
| Aetna | Commercial|HMO | $1,448 |
| Aetna | Commercial|PPO | $1,448 |
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