Emergency visit, high (level 4) at Prisma Health Tuomey Hospital. CPT 99284.
What Prisma Health Tuomey 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
$87.40–$4,270range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Bluechoice [420] | Phm Hb Bluechoice Medicaid - Tuomey | $91.76 |
| Medicaid Humana Healthy Horizons [6110] | Phm Hb Humana Medicaid - Tuo | $93.51 |
| Medicaid Sc [300] | Phm Hb Sc Medicaid - Tuomey | $211 |
| Medicaid Molina Healthcare Sc [440] | Phm Hb Molina Medicaid - Tuomey | $218 |
| Medicaid Absolute Total Care [410] | Phm Hb Absolute Total Care Medica | $222 |
| BCBS [800] | Phm Hb Blues Exchange - Tuomey | $292 |
| Bluechoice [810] | Phm Hb Blues Exchange - Tuomey | $292 |
| 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 - Tuomey | $390 |
| Alternate Medicare [201] | Phm Hb 100% Of Medicare - Tuomey | $390 |
| Covid19 Hrsa Uninsured Testing & Treatment Fund [904] | Phm Hb Medicar | $390 |
| Healthy Conn Prime-First Choice Vip Care [5300] | Phm Hb 105% Of Medic | $409 |
| Healthy Conn Prime-Molina Healthcare [5330] | Phm Hb 105% Of Medicare | $409 |
| Healthy Conn Prime-Wellcare Prime By Atc [5310] | Phm Hb 105% Of Medic | $409 |
| BCBS [800] | Phm Hb BCBS State Tuomey | $702 |
| Ambetter Exchange-All States Contracted [4121] | Phm Ambetter By Atc - | $718 |
| BOB JONES UNIV-PAI [821] | GHS HB MyHFN BOB JONES PAI | $1,163 |
| Aetna [2000] | Phm Hb Aetna Sc Preferred | $1,241 |
| Bluechoice [810] | Phm Bluechoice Tuomey | $1,274 |
| BCBS [800] | Phm Hb BCBS Sc Tuomey | $1,275 |
| 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 |
| Cigna [2800] | Phm Hb Cigna - Tuomey | $1,487 |
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