Emergency visit, high (level 4) at CaroMont Regional Medical Center - Mount Holly, Emergency Department. CPT 99284.
What CaroMont Regional Medical Center - Mount Holly, Emergency Department publishes for this service, straight from its standard-charges file, last updated May 11, 2026.
Outpatient / ER
$2,887cash price (self-pay)
$2,887list price
$426–$3,030range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue | Medicare Advantage | $426 |
| United HealthCare | Medicare Advantage | $426 |
| United Healthcare Behavioral Health | Medicare Advantage | $426 |
| Blue Cross Blue | Medicaid Managed Care | $434 |
| Carolina Complete Health | Medicaid Managed Care | $434 |
| Partners Behavioral Health | Medicaid | $434 |
| Amerihealth Caritas | Medicaid Managed Care | $443 |
| Alliance Behavioral Health | Medicaid | $443 |
| Carolina Complete Health Tailored Plans | Medicaid Managed Care | $443 |
| United HealthCare | Medicaid Managed Care | $443 |
| Vaya Behavioral Health | Medicaid | $443 |
| Wellcare | Medicaid Managed Care | $443 |
| Aetna | Medicare Advantage | $443 |
| HealthTeam | Medicare Advantage | $448 |
| Devoted Health | Medicare Advantage | $448 |
| Longevity Health | Medicare Advantage | $448 |
| Molina | Medicare Advantage | $448 |
| Humana ChoiceCare | Medicare Advantage | $456 |
| Surgery Plus | Commercial | $746 |
| Cigna | Individual Family Plan | $793 |
| Absolute Total Care | Medicaid Managed Care | $811 |
| Molina | Medicaid Managed Care | $811 |
| Gaston County Jail | Other | $869 |
| Carolina Caring | Commercial | $1,066 |
| Corporate Benefits Service | Commercial | $1,147 |
| Blue Cross Blue Value Individual | Commercial | $1,175 |
| Blue Cross | HMO PPO | $1,281 |
| Aetna | NC Preferred | $1,429 |
| Aetna | PPO | $1,429 |
| United HealthCare | Commercial | $1,536 |
Inpatient
$2,887cash price (self-pay)
$2,887list price
—range insurers pay
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All common services at CaroMont Regional Medical Center - Mount Holly, Emergency Department