Emergency visit, high (level 4) at George C. Grape Community Hospital. CPT 99284.
What George C. Grape Community Hospital publishes for this service, straight from its standard-charges file, last updated August 6, 2026.
Outpatient / ER
$474cash price (self-pay)
$698list price
$113–$843range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS HMO | BCBS HMO | $188 |
| BCBS PPO - All Other Plans | BCBS PPO - All Other Plans | $188 |
| Humana - All Plans | Humana - All Plans | $274 |
| UHC All Payer- All Plans | UHC All Payer- All Plans | $481 |
| Aetna - All Plans | Aetna - All Plans | $649 |
| Golden Rule - All Plans | Golden Rule - All Plans | $826 |
| Cigna - All Plans | Cigna - All Plans | $843 |
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