Emergency visit, high (level 4) at Wilcox Medical Center. CPT 99284.
What Wilcox Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$1,535cash price (self-pay)
$2,558list price
$58.00–$2,174range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blended Rate UHC | All Products | $58.00 |
| Alohacare | Medicare Advantage | $417 |
| Hmsa | Medicare Advantage | $417 |
| Mdx | Humana Medicare | $417 |
| Ohana | Medicare Advantage | $426 |
| Devoted | Medicare Advantage | $519 |
| Mdx | UHC Medicare | $541 |
| Alohacare | Non-Abd - Adult | $580 |
| Alohacare | Non-Abd - Pediatric | $580 |
| Ohana | Quest - Non-Abd | $719 |
| Hmsa | Quest Non-Abd | $780 |
| Hmsa | Quest Abd | $847 |
| Alohacare | Abd - Pediatric | $1,215 |
| Alohacare | Abd - Adult | $1,215 |
| Ohana | Quest - Abd | $1,215 |
| UHC | All Products | $1,342 |
| Hmsa | All Products | $1,460 |
| Uha | All Products | $1,834 |
| Hwmg/Hmaa | All Products | $2,000 |
| Hcha | All Products | $2,046 |
| Kaiser | All Products | $2,046 |
| Mdx | All Products | $2,046 |
| Pac Admin | All Products | $2,046 |
| Verdegard | Union Trust Fund | $2,046 |
| Multiplan | All Products | $2,174 |
Inpatient
$1,535cash price (self-pay)
$2,558list price
$58.00–$2,174range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | All Products | $2,046 |
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