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Emergency visit, high (level 4) at Lady of the Sea General Hospital. CPT 99284.

What Lady of the Sea General Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.

Outpatient / ER

$608cash price (self-pay)
$608list price
$119–$705range insurers pay
Insurance planNegotiated rate
United Healthcare | All Commercial Plans$119
Aetna | Medicare Replacement$284
Blue Cross Blue Shield of LA MCR Adv | Medicare Replacement$284
Cigna | Medicare Replacement$284
Humana | Medicare Replacement$284
Peoples Health | Medicare Replacement$284
Wellcare | Medicare Replacement$284
PPO Plus | Commercial$406
Aetna | All Commercial Plans$425
Aetna Better Health | Medicaid Replacement$474
Amerihealth Caritas of LA | Medicaid Replacement$474
Blue Cross | Medicaid Replacement$474
Healthy Blue | Medicaid Replacement$474
Humana | Commercial$474
Humana Healthy Horizon | Medicaid Replacement$474
Louisiana Healthcare Connections | Medicaid Replacement$474
Blue Cross Blue Shield of LA | HMO$606
Blue Cross Blue Shield of LA | PPO$705
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All common services at Lady of the Sea General Hospital