Emergency visit, high (level 4) at Prisma Health Richland Hospital. CPT 99284.
What Prisma Health Richland 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
$112–$2,667range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Humana Healthy Horizons [6110] | Phm Hb Humana Medicaid - Ric | $112 |
| Medicaid Bluechoice [420] | Phm Hb Bluechoice Medicaid - Richland | $120 |
| Medicaid Molina Healthcare Sc [440] | Phm Hb Molina Medicaid - Richlan | $124 |
| Medicaid Absolute Total Care [410] | Phm Hb Absolute Total Care Medica | $130 |
| MEDICAID NC-AMERIHEALTH [3225] | PH North Carolina Medicaid | $299 |
| MEDICAID NC-CAROLINA COMPLETE [3229] | PH North Carolina Medicaid | $299 |
| MEDICAID NC-HEALTHY BLUE [3227] | PH North Carolina Medicaid | $299 |
| MEDICAID NC-UHC COMMUNITY PLAN [3226] | PH North Carolina Medicaid | $299 |
| MEDICAID NC-WELLCARE [3224] | PH North Carolina Medicaid | $299 |
| MEDICAID NORTH CAROLINA [310] | PH North Carolina Medicaid | $299 |
| Carelon Behavioral Health [3180] | Phm Hb Carelon Behavioral Health Mi | $350 |
| Alternate Medicare Covid [20102] | Phm Hb 100% Of Medicare - Richland | $400 |
| Alternate Medicare [201] | Phm Hb 100% Of Medicare - Richland | $400 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phm Hb Medicar | $400 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phm Hb 105% Of Medic | $420 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phm Hb 105% Of Medicare | $420 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phm Hb 105% Of Medic | $420 |
| BCBS [800] | Phm Hb BCBS State Richland | $702 |
| Ambetter Exchange-All States Contracted [4121] | Phm Ambetter By Atc - | $737 |
| BCBS [800] | Phm Hb Blues Exchange - Richland | $782 |
| Bluechoice [810] | Phm Hb Blues Exchange - Richland | $782 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $1,163 |
| Aetna [2000] | Phm Hb Aetna Sc Preferred | $1,241 |
| Cigna [2800] | Phm Hb Cigna - Midlands | $1,346 |
| Evernorth Behavioral Contracted [2982] | Phm Hb Cigna - Midlands | $1,346 |
| Medcost [2940] | Ph Hb Medcost Benefit Services | $1,435 |
| Atlantic Packaging Contracted [4833] | Ph Hb Atlantic Packaging | $1,454 |
| Humana [2930] | Phm Choicecare - Midlands | $1,454 |
| BCBS [800] | Phm Hb BCBS Sc Richland | $1,530 |
| Aetna Voluntary Plan [2500] | Phm Hb Aetna Commercial - Midlands | $1,532 |
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