Emergency visit, high (level 4) at Prisma Health North Greenville Hospital. CPT 99284.
What Prisma Health North Greenville 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
$65.55–$2,024range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Celtic Life Medicare Supplement [3045] | Phu Hb 100% Of Medicaid - Ngl | $91.77 |
| First Choice Benefits Mgmt [3074] | Phu Hb 100% Of Medicaid - Ngltac | $91.77 |
| Medicaid Florida [315] | Phu Hb 100% Of Medicaid - Ngltac | $91.77 |
| Medicaid Georgia-Amerigroup [3009] | Phu Hb 100% Of Medicaid - Ngltac | $91.77 |
| Medicaid New York [320] | Phu Hb 100% Of Medicaid - Ngltac | $91.77 |
| Medicaid Tennessee [325] | Phu Hb 100% Of Medicaid - Ngltac | $91.77 |
| Pending Medicaid Det [333] | Phu Hb Sc Medicaid - Ngltac | $91.77 |
| Medicaid Sc [300] | Phu Hb Sc Medicaid - Ngltac | $158 |
| Carelon Behavioral Health [3180] | Phu Hb Carelon Behavioral Health Up | $350 |
| Alternate Medicare Covid [20102] | Phu Hb 100% Of Medicare - Ngltac | $400 |
| Alternate Medicare [201] | Phu Hb 100% Of Medicare - Ngltac | $400 |
| Champva [3049] | Phu Hb 100% Of Medicare - Ngltac | $400 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phu Hb Medicar | $400 |
| Deseret Mutual Ins Co [3066] | Phu Hb 100% Of Medicare - Ngltac | $400 |
| Forethought Medicare Supplement [3075] | Phu Hb 100% Of Medicare - Ngl | $400 |
| Generic Skilled Nursing [3196] | Phu Hb 100% Of Medicare - Ngltac | $400 |
| Healthspring/Cigna Medicare Supplement [3051] | Phu Hb 100% Of Medicar | $400 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phu Hb 105% Of Medic | $420 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phu Hb Select Health | $424 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phu Hb Molina Dual Eligi | $440 |
| BCBS [800] | Phu Hb Upstate Blue Exchange Reedy - Ngltac | $495 |
| BCBS [800] | Phu Hb Blues Exchange Ngltac | $590 |
| Bluechoice [810] | Phu Hb Blues Exchange Ngltac | $590 |
| BCBS [800] | Phu Hb BCBS State Ngltac | $702 |
| Ambetter Exchange-All States Contracted [4121] | Phu Hb Ambetter Hix A | $735 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $1,163 |
| Aetna [2000] | Phu Hb Aetna Sc Preferred | $1,241 |
| Cigna [2800] | Phu Hb Cigna | $1,346 |
| Evernorth Behavioral Contracted [2982] | Phu Hb Cigna | $1,346 |
| Atlantic Packaging Contracted [4833] | Ph Hb Atlantic Packaging | $1,454 |
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All common services at Prisma Health North Greenville Hospital