Emergency visit, high (level 4) at Tyler Holmes Memorial Hospital. CPT 99284.
What Tyler Holmes Memorial Hospital publishes for this service, straight from its standard-charges file, last updated July 28, 2026.
Outpatient / ER
$285cash price (self-pay)
$380list price
$224–$900range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC- All Plans | UHC- All Plans | $224 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $282 |
| Ahs BCBS | Ahs BCBS | $304 |
| BCBS - All Other Plans | BCBS - All Other Plans | $886 |
| Cigna - All Plans | Cigna - All Plans | $900 |
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