Emergency visit, high (level 4) at Franklin General Hospital. CPT 99284.
What Franklin General Hospital publishes for this service, straight from its standard-charges file, last updated July 16, 2026.
Outpatient / ER
$356cash price (self-pay)
$396list price
$110–$1,001range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellmark Mcr Adv | Wellmark Mcr Adv | $160 |
| Wellmark HMO | Wellmark HMO | $188 |
| Wellmark PPO - All Other Plans | Wellmark PPO - All Other Plans | $188 |
| UHC Va Ccn | UHC Va Ccn | $219 |
| UHC Mcr Adv | UHC Mcr Adv | $226 |
| Medical Ass Hosp Employer Group | Medical Ass Hosp Employer Group | $238 |
| Medical Associates Mcare | Medical Associates Mcare | $239 |
| Mount Carmel Hp-All Plans | Mount Carmel Hp-All Plans | $239 |
| Tricare - All Plans | Tricare - All Plans | $239 |
| Amerigroup Mcare | Amerigroup Mcare | $241 |
| Molina Mcare | Molina Mcare | $248 |
| American Hp Iowa - All Plans | American Hp Iowa - All Plans | $251 |
| Centene Mcare Adv | Centene Mcare Adv | $251 |
| Midlands Choice-All Plans | Midlands Choice-All Plans | $277 |
| Medical Associates Hp-All Other Plans | Medical Associates Hp-All Othe | $337 |
| Preferred Health Choices-All Plans | Preferred Health Choices-All Plan | $337 |
| Splashlight LLC-All Plans | Splashlight LLC-All Plans | $337 |
| Centivo - All Plans | Centivo - All Plans | $358 |
| Oscar - All Plans | Oscar - All Plans | $358 |
| Aetna/Coventry HMO | Aetna/Coventry HMO | $368 |
| Aetna/Coventry PPO - All Other Plans | Aetna/Coventry PPO - All Other | $376 |
| Multiplan-All Plans | Multiplan-All Plans | $376 |
| Centene Comm - All Other Plans | Centene Comm - All Other Plans | $382 |
| Amerigroup Mcaid - All Other Plans | Amerigroup Mcaid - All Other Plan | $396 |
| Centene Mcaid | Centene Mcaid | $404 |
| Molina Mcaid - All Other Plans | Molina Mcaid - All Other Plans | $406 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $461 |
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