Emergency visit, high (level 4) at UofL Health - Jewish Hospital. CPT 99284.
What UofL Health - Jewish Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$784cash price (self-pay)
$1,743list price
$293–$1,743range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Pathway PPO/HMO | $293 |
| Passport | Molina KY Medicaid | $305 |
| UHC | KY Medicaid | $314 |
| Wellcare | KY Medicaid | $314 |
| Anthem | PPO/HMO | $315 |
| Anthem | Traditional | $315 |
| Aetna | Better Health KY Medicaid | $330 |
| Humana | KY Medicaid | $330 |
| Humana | Military Tricare | $368 |
| Senior Care Community of KY | Medicare Advantage | $388 |
| Anthem | Medicare Advantage | $399 |
| Cigna | Commercial | $399 |
| Essence Health | Medicare Advantage | $399 |
| Humana | MA Private FFS | $399 |
| Humana | PPO/HMO Medicare Advantage | $399 |
| Signature | Medicare Advantage | $399 |
| Va Ccn | Va Ccn | $399 |
| CommuniCare | Medicare Advantage | $419 |
| Velocity | Medicare Advantage | $485 |
| Key Benefit Administrators | Commercial | $519 |
| Devoted | Medicare Advantage | $523 |
| Wellcare | Commercial | $543 |
| Prime Group Health | Workers Comp | $620 |
| Passport | Commercial | $697 |
| Velocity | Group Health | $698 |
| UHC | Commercial | $831 |
| Passport | Medicare Advantage | $872 |
| Encore | Commercial | $1,046 |
| Multiplan | Commercial | $1,150 |
| Prime Group Health | Commercial | $1,307 |
Inpatient
$784cash price (self-pay)
$1,743list price
$620–$1,743range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Prime Group Health | Workers Comp | $620 |
| Passport | Commercial | $697 |
| Anthem | Pathway PPO/HMO | $698 |
| Anthem | PPO/HMO | $750 |
| Anthem | Traditional | $750 |
| Encore | Commercial | $1,046 |
| Multiplan | Commercial | $1,150 |
| Prime Group Health | Commercial | $1,307 |
| Velocity | Auto | $1,394 |
| Prime Group Health | Auto | $1,482 |
| Multiplan | Workers Comp | $1,569 |
| OMCA | Commercial | $1,656 |
| Velocity | Workers Comp | $1,708 |
| CSHN | Commercial | $1,743 |
| Corvel | Commercial | $1,743 |
| Health Smart | Commercial | $1,743 |
| National Comp Care | Commercial | $1,743 |
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