Emergency visit, high (level 4) at Carroll County Memorial Hospital. CPT 99284.
What Carroll County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 17, 2026.
Outpatient / ER
$118cash price (self-pay)
$584list price
$55.70–$971range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B KY J15 | Default | $113 |
| Humana | Medicare Advantage | $166 |
| Medicare A KY J15 | Default | $166 |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $166 |
| Blue Cross Blue Shield of KY Anthem | Medicare Advantage | $175 |
| Medicaid Kentucky | Default | $175 |
| WellCare Health Plan MCD Rep | Medicaid Replacement | $175 |
| United Healthcare | Medicare Advantage | $187 |
| Blue Cross Blue Shield of KY Anthem | Default | $417 |
| Humana | Default | $567 |
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