Emergency visit, high (level 4) at Mary Breckinridge ARH Hospital. CPT 99284.
What Mary Breckinridge ARH Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,745cash price (self-pay)
$2,909list price
$436–$2,560range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | Medicaid | $436 |
| Anthem | Medicaid | $436 |
| Humana | Medicaid | $436 |
| Anthem | Medicare Advantage | $441 |
| Humana | Medicare | $441 |
| Optum CCN Region 1 | Veterans Affairs Plan | $441 |
| Optum CCN Region 2 | Veterans Affairs Plan | $441 |
| WellCare of Kentucky | Medicare | $441 |
| Passport Molina | Medicaid | $445 |
| United Healthcare | Medicare | $553 |
| Aetna | Medicare | $611 |
| WellCare of Kentucky | Medicaid | $640 |
| UMR | Commercial | $1,571 |
| United Healthcare HMO | Commercial | $1,571 |
| United Healthcare PPO | Commercial | $1,571 |
| CareSoure Kentucky | Commercial | $1,891 |
| Anthem HMO | Commercial | $2,416 |
| Anthem Traditional/PPO | Commercial | $2,543 |
| Aetna POS | Commercial | $2,560 |
| Aetna PPO | Commercial | $2,560 |
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