Emergency visit, high (level 4) at Prisma Health Hillcrest Hospital. CPT 99284.
What Prisma Health Hillcrest Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$1,260cash price (self-pay)
$1,939list price
$89.51–$2,024range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Georgia-Caresource [3228] | Phu Hb 100% Of Medicaid - Hmh | $125 |
| Medicaid Sc [300] | Phu Hb Sc Medicaid - Hmh | $125 |
| Medicaid Select Health Of Sc [400] | Phu Hb 103% Of Medicaid - Hmh | $223 |
| Medicaid Bluechoice [420] | Phu Hb Bluechoice Medicaid 104% - Hmh | $225 |
| Celtic Life Medicare Supplement [3045] | Phu Hb 100% Of Medicaid - Hmh | $252 |
| First Choice Benefits Mgmt [3074] | Phu Hb 100% Of Medicaid - Hmh | $252 |
| Medicaid Florida [315] | Phu Hb 100% Of Medicaid - Hmh | $252 |
| Medicaid Georgia-Amerigroup [3009] | Phu Hb 100% Of Medicaid - Hmh | $252 |
| Medicaid New York [320] | Phu Hb 100% Of Medicaid - Hmh | $252 |
| Medicaid Tennessee [325] | Phu Hb 100% Of Medicaid - Hmh | $252 |
| Pending Medicaid Det [333] | Phu Hb Sc Medicaid - Hmh | $252 |
| Medicaid Absolute Total Care [410] | Phu Hb Absolute Total Care Medica | $265 |
| Medicaid Humana Healthy Horizons [6110] | Phu Hb 107% Of Medicaid - Hm | $270 |
| Carelon Behavioral Health [3180] | Phu Hb Carelon Behavioral Health Up | $350 |
| Alternate Medicare Covid [20102] | Phu Hb 100% Of Medicare - Hmh | $398 |
| Alternate Medicare [201] | Phu Hb 100% Of Medicare - Hmh | $398 |
| Champva [3049] | Phu Hb 100% Of Medicare - Hmh | $398 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phu Hb Medicar | $398 |
| Deseret Mutual Ins Co [3066] | Phu Hb 100% Of Medicare - Hmh | $398 |
| Forethought Medicare Supplement [3075] | Phu Hb 100% Of Medicare - Hmh | $398 |
| Generic Skilled Nursing [3196] | Phu Hb 100% Of Medicare - Hmh | $398 |
| BCBS [800] | Phu Hb Upstate Blue Exchange Reedy - Hmh | $483 |
| BCBS [800] | Phu Hb Blues Exchange Hmh | $576 |
| Bluechoice [810] | Phu Hb Blues Exchange Hmh | $576 |
| BCBS [800] | Phu Hb BCBS State Hmh | $702 |
| Ambetter Exchange-All States Contracted [4121] | Phu Hb Ambetter Hix A | $732 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $1,163 |
| BCBS [800] | Phu Hb BCBS Ppc Hmh | $1,167 |
| Bluechoice [810] | Phu Hb Bluechoice Hmh | $1,232 |
| Aetna [2000] | Phu Hb Aetna Sc Preferred | $1,241 |
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