Emergency visit, high (level 4) at Novant Health Coastal Carolina Medical Center. CPT 99284.
What Novant Health Coastal Carolina Medical Center publishes for this service, straight from its standard-charges file, last updated March 10, 2026.
Outpatient / ER
$702cash price (self-pay)
—list price
$388–$5,865range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Absolute Total Care | MMP | $388 |
| Absolute Total Care | Medicare Advantage | $388 |
| Aetna | Medicare Advantage | $388 |
| Devoted Health | HMO MA | $388 |
| Devoted Health | PPO MA | $388 |
| Humana | Medicare Advantage | $388 |
| United Healthcare | Medicare Advantage | $388 |
| Molina | MMP | $396 |
| Molina | Medicare Advantage | $396 |
| Cigna | HealthSpring | $400 |
| Clover Insurance Company | HMO MA | $404 |
| Clover Insurance Company | PPO MA | $404 |
| Select Health | MMP | $407 |
| Select Health | Medicare Advantage | $407 |
| Absolute Total Care | Marketplace | $640 |
| Molina | Marketplace | $640 |
| BlueCross BlueShield of South Carolina | State Health Plan | $702 |
| Select Health | Marketplace | $741 |
| United Healthcare | Exchange Plan | $2,468 |
| United Healthcare | All Other Plans | $4,681 |
| United Healthcare | Options PPO | $5,865 |
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All common services at Novant Health Coastal Carolina Medical Center