Emergency visit, high (level 4) at Holzer Medical Center - Jackson. CPT 99284.
What Holzer Medical Center - Jackson publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$340cash price (self-pay)
$679list price
$121–$645range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ohio Medicare | Traditional | $128 |
| Humana Medicare | PPO | $128 |
| Humana Medicare | POS | $128 |
| Humana Medicare | Traditional | $128 |
| Aetna | Medicare Advantage | $201 |
| Anthem Medicare | HMO | $210 |
| Anthem Medicare | PPO | $210 |
| Caresource Exchange | HMO | $276 |
| Anthem Exchange | Pathway X HMO | $342 |
| Anthem Exchange | Pathway X PPO | $360 |
| Anthem | Blue Access | $388 |
| Anthem | Blue Preferred | $388 |
| Anthem | Blue Traditional | $397 |
| Aetna | PPO | $441 |
| Aetna | HMO | $441 |
| Aetna | POS | $441 |
| United Healthcare | PPO | $441 |
| United Healthcare | POS | $441 |
| Medben | Direct Agreement | $441 |
| Cigna | PPO | $496 |
| Association Benefit Solutions | Direct Agreement | $509 |
| Healthsmart | Accel | $509 |
| Ohio Health Choice | PHC-Plus | $509 |
| Mmo | PPO | $523 |
| Mmo | HMO | $523 |
| MMO Marketplace | HMO | $523 |
| Quality Care Partners | PPO | $530 |
| Quality Care Partners Marketplace | Antidote Health | $530 |
| The Health Plan | PPO | $543 |
| The Health Plan | POS | $543 |
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