Emergency visit, high (level 4) at King's Daughters Medical Center. CPT 99284.
What King's Daughters Medical Center publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$520cash price (self-pay)
$1,301list price
$298–$1,734range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthsmart | Commercial | $298 |
| Buckeye Community Health Plan | Exchange | $496 |
| Caresource | Exchange | $735 |
| United Healthcare Commercial/Behavioral Health | Commercial | $808 |
| Aetna | Commercial | $962 |
| The Health Plan | Commercial | $1,041 |
| Multiplan | Commercial | $1,171 |
| Molina | Exchange | $1,200 |
| Blue Cross Blue Shield | HMO | $1,439 |
| Blue Cross Blue Shield | PPO | $1,734 |
Inpatient
$520cash price (self-pay)
$1,301list price
$607–$1,171range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | HMO | $607 |
| Blue Cross Blue Shield | PPO | $732 |
| Aetna | Commercial | $962 |
| The Health Plan | Commercial | $1,041 |
| Multiplan | Commercial | $1,171 |
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