Emergency visit, high (level 4) at Wellstar West Georgia Medical Center. CPT 99284.
What Wellstar West Georgia Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$875cash price (self-pay)
$2,244list price
$411–$1,598range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $411 |
| Bcbs | Medicare Managed Care Plan | $419 |
| Cigna | Medicare Managed Care Plan | $431 |
| Clover | Medicare Managed Care Plan | $439 |
| Oscar Healthplan | Exchange | $698 |
| Ambetter | Select Medicare Managed Care Plan | $723 |
| Peachstate | Ambetter Exchange | $760 |
| Caresource | Exchange | $805 |
| Bcbs | Shbp Other Commercial Plan | $1,261 |
| Bcbs | Hmo/Pos | $1,598 |
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