Emergency visit, high (level 4) at St Marys Sacred Heart Hospital. CPT 99284.
What St Marys Sacred Heart Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2025.
Outpatient / ER
$696cash price (self-pay)
$1,071list price
$1.00–$1,699range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Pathway Program | $1.00 |
| Centene | Medicaid | $1.03 |
| Caresource | Marketplace | $1.55 |
| Cigna | All products | $2.44 |
| Peach State | Medicaid | $86.74 |
| Anthem | PPO | $160 |
| ChoiceCare | PPO | $338 |
| Anthem BCBS | Medicare Advantage | $422 |
| Care Improvement Plus | Medicare Advantage | $422 |
| Kaiser Permanente | Medicare Advantage | $422 |
| UHC | Medicare Advantage | $422 |
| VACCN United | Veterans Affairs | $422 |
| Wellcare | Medicare Advantage | $422 |
| Peach State | Marketplace | $426 |
| Aetna | Medicare Advantage | $430 |
| Conventry | 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 |
| UHC | All Products | $629 |
| United Healthcare | All Products | $629 |
| Aetna | All Products | $630 |
| Friday Health Plan | Commercial | $739 |
| COVENTRY | All Products | $910 |
| First Health | All Products | $910 |
| NOVA | All Products | $910 |
Inpatient
$696cash price (self-pay)
$1,071list price
$629–$910range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| COVENTRY | All Products | $750 |
| First Health | All Products | $750 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.