Emergency visit, high (level 4) at Pulaski Memorial Hospital. CPT 99284.
What Pulaski Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 7, 2026.
Outpatient / ER
$155cash price (self-pay)
$1,209list price
$94.28–$1,209range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Behav Hlth Mcare | Humana Behav Hlth Mcare | $111 |
| UHC Va Ccn | UHC Va Ccn | $111 |
| Caresource Mcaid Hip | Caresource Mcaid Hip | $338 |
| Caresource Mcare HMO | Caresource Mcare HMO | $338 |
| Mhs Mcaid Hip | Mhs Mcaid Hip | $338 |
| UHC Mcr Adv | UHC Mcr Adv | $338 |
| Anthem Mcaid Hip | Anthem Mcaid Hip | $338 |
| Anthem Mcare Medselect | Anthem Mcare Medselect | $338 |
| Cenpatico Mcaid Hip | Cenpatico Mcaid Hip | $338 |
| Mdwise Mcaid Hip - All Other Plans | Mdwise Mcaid Hip - All Other Plan | $338 |
| Mhs Exch Ambetter HMO - All Other Plans | Mhs Exch Ambetter HMO - All | $338 |
| Humana Choicecare Mcare | Humana Choicecare Mcare | $342 |
| Mhs Mcare Allwell | Mhs Mcare Allwell | $342 |
| Anthem Mcare HMO/PPO | Anthem Mcare HMO/PPO | $411 |
| Caresource Exch HMO Hix - All Other Plans | Caresource Exch HMO Hix - | $423 |
| Aetna Mcare - All Plans | Aetna Mcare - All Plans | $435 |
| Anthem HMO - All Other Plans | Anthem HMO - All Other Plans | $703 |
| Anthem PPO/Exchange | Anthem PPO/Exchange | $754 |
| Sagamore Anthem | Sagamore Anthem | $776 |
| Anthem Workers Comp | Anthem Workers Comp | $778 |
| Humana Behav Hlth Op Only | Humana Behav Hlth Op Only | $800 |
| Anthem Traditional | Anthem Traditional | $804 |
| Sagamore Rose Acre | Sagamore Rose Acre | $900 |
| Sagamore - All Other Plans | Sagamore - All Other Plans | $914 |
| Umr - All Plans | Umr - All Plans | $955 |
| United Healthcare - All Other Plans | United Healthcare - All Other Pl | $955 |
| Humana Choicecare PPO - All Other Plans | Humana Choicecare PPO - All | $972 |
| Encore PPO - All Other Plans | Encore PPO - All Other Plans | $1,027 |
| Community Health Alliance - All Plans | Community Health Alliance - Al | $1,076 |
| Multiplan - All Plans | Multiplan - All Plans | $1,088 |
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