Emergency visit, high (level 4) at Newberry County Memorial Hospital. CPT 99284.
What Newberry County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 30, 2026.
Outpatient / ER
$458cash price (self-pay)
$1,237list price
$414–$1,150range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicare Advantrage | HMO | $414 |
| Aetna Medicare Advantage | HMO | $414 |
| Molina Medicare Advantage | HMO | $426 |
| Devoted Health | PPO | $426 |
| Humana Medicare Advantage | HMO | $426 |
| NHC Medicare Advantage | HMO | $430 |
| Select Health Medicare Advantage | HMO | $434 |
| Ambetter Exchange | PPO | $434 |
| Molina Marketplace | PPO | $434 |
| Liberty Medicare Advantage | HMO | $438 |
| Self Pay | PPO | $458 |
| BCBS Blue Choice | PPO | $835 |
| Aetna Commercial | PPO | $837 |
| UHC Options PPO | PPO | $931 |
| Cigna Commercial | PPO | $986 |
| United Payers and United Providers (UP & UP) | PPO | $1,150 |
Inpatient
$458cash price (self-pay)
$1,237list price
$79.00–$1,150range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Commercial | PPO | $79.00 |
| Self Pay | PPO | $458 |
| BCBS Blue Choice | PPO | $721 |
| South Carolina Medicaid | HMO | $797 |
| Cigna Medicaid Replacement | HMO | $797 |
| Humana Medicaid Replacement | HMO | $797 |
| Aetna Commercial | PPO | $837 |
| United Payers and United Providers (UP & UP) | PPO | $1,150 |
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