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Emergency visit, high (level 4) at Wellstar Sylvan Grove Hospital. CPT 99284.

What Wellstar Sylvan Grove Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$875cash price (self-pay)
$2,244list price
$1,250–$1,584range insurers pay
Insurance planNegotiated rate
Bcbs | Shbp Other Commercial Plan$1,250
Bcbs | Hmo/Pos$1,584
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All common services at Wellstar Sylvan Grove Hospital