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Emergency visit, high (level 4) at Rural Wellness Fairfax. CPT 99284.

What Rural Wellness Fairfax publishes for this service, straight from its standard-charges file, last updated March 23, 2026.

Outpatient / ER

$210cash price (self-pay)
$607list price
$129–$1,059range insurers pay
Insurance planNegotiated rate
HealthChoice | Commercial$633
Tricare | Standard$844
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All common services at Rural Wellness Fairfax