Emergency visit, high (level 4) at St Marys Health Care System. CPT 99284.
What St Marys Health Care System publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$1,021cash price (self-pay)
$1,571list price
$1.03–$1,257range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Centene | Medicaid | $1.03 |
| Peach State | Medicaid | $86.74 |
| Anthem | PPO | $160 |
| Anthem | Pathway Program | $160 |
| Cigna | All products | $258 |
| Amerigroup | Medicaid/Peachcare | $327 |
| Anthem BCBS | Medicare Advantage | $410 |
| Care Improvement Plus | Medicare Advantage | $410 |
| Kaiser Permanente | Medicare Advantage | $410 |
| Wellcare | Medicare Advantage | $410 |
| UHC | Medicare Advantage | $422 |
| Aetna | Medicare Advantage | $430 |
| Coventry | Medicare Advantage | $430 |
| Molina | Medicare Advantage | $430 |
| Humana | Medicare Advantage | $432 |
| Centene | Medicare Advantage | $435 |
| Cigna HealthSpring | Medicare Advantage | $435 |
| Caresource | Medicare Advantage | $439 |
| Pruitthealth Premier | Medicare Advantage | $443 |
| Eon Health Plan | Medicare Advantage | $452 |
| Caresource | Marketplace | $654 |
| Friday Health Plan | Commercial | $739 |
| Anthem | HMO | $893 |
| Aetna | All Products | $924 |
| Evolutions PPO | All Products | $1,257 |
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