Emergency visit, high (level 4) at Wesley Long Hospital. CPT 99284.
What Wesley Long Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,134cash price (self-pay)
$2,985list price
$663–$2,925range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Carolina Complete Health | Managed Medicaid | $663 |
| Health Choice | Managed Medicaid | $663 |
| Modivcare | Managed Medicaid | $663 |
| Vaya Health | Managed Medicaid | $673 |
| Vaya Health | Tailored Plan | $673 |
| Vaya Health | Three Way | $673 |
| Partners Health | Managed Medicaid | $676 |
| Partners Health | Tailored Plan | $676 |
| Trillium Health | Managed Medicaid | $676 |
| Trillium Health | Tailored Plan | $676 |
| Humana | Choicecare | $1,895 |
| Aetna | First Health | $2,021 |
| BCBS | Nyship | $2,363 |
| Beacon Health | Value Options | $2,388 |
| Beach Street | Medicare Advantage | $2,925 |
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