Emergency visit, high (level 4) at Iredell Davis Behavioral Health Hospital. CPT 99284.
What Iredell Davis Behavioral Health Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$1,575cash price (self-pay)
$2,250list price
$426–$2,025range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $426 |
| BCBS | Blue Medicare Advantage | $426 |
| Cigna | Medicare Advantage | $426 |
| Humana | Medicare Advantage | $426 |
| Longevity | Medicare Advantage | $426 |
| UHC | Medicare Advantage | $426 |
| Wellcare | Medicare Advantage | $434 |
| Devoted | Medicare Advantage | $439 |
| Health Team Alliance | Medicare Advantage | $439 |
| Troy Health | Medicare Advantage | $447 |
| Alliance | Managed Medicaid | $515 |
| Amerihealth Caritas | Managed Medicaid | $515 |
| Carolina Complete Health | Managed Medicaid | $515 |
| Healthy Blue | Managed Medicaid | $515 |
| Partners | Managed Medicaid | $515 |
| Trillium | Managed Medicaid | $515 |
| UHC | Managed Care | $515 |
| UHC | Managed Medicaid | $515 |
| Vaya | Managed Medicaid | $515 |
| Wellcare | Managed Medicaid | $526 |
| BCBS | All Products | $632 |
| Ambetter | Managed Care | $788 |
| Amerihealth NEXT | Managed Care | $852 |
| Cigna | Managed Care | $869 |
| Medcost | Managed Care | $1,350 |
| Multiplan | Managed Care | $2,025 |
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All common services at Iredell Davis Behavioral Health Hospital