Emergency visit, high (level 4) at MUSC Health Black River Medical Center. CPT 99284.
What MUSC Health Black River Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$976cash price (self-pay)
$1,951list price
$388–$1,235range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $388 |
| Clover Health | Medicare Managed Care Plan | $396 |
| Absolute Total Care | Ambetter Exchange | $417 |
| Molina | Exchange | $427 |
| Bcbs | Lowcountry Blue Exchange | $431 |
| Bcbs | Bluechoice/Blueoptions Exchange | $456 |
| Bcbs | Blueessentials Exchange | $456 |
| Bcbs | Employee | $485 |
| Bcbs | State Other Commercial Plan | $647 |
| Bcbs | Preferred Blue Ppo | $1,124 |
| Bcbs | Bluechoice Hmo | $1,235 |
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All common services at MUSC Health Black River Medical Center