Emergency visit, high (level 4) at Ascension Saint Thomas Midtown. CPT 99284.
What Ascension Saint Thomas Midtown publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$115–$3,788range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Blue Care | 1015_bcbs Blue Care Tenncare Select 20221001 | $115 |
| Point Comfort Underwriters | 1229_medicare Advantage Point Comfort Und | $367 |
| Amerigroup | 1217_medicaid Replacement Amerigroup Outpatient 20250101 | $379 |
| Tricare | 291_tricare Op 20160101 | $392 |
| Americhoice Mcr Replacement | 1219_americhoice Medicare Outpatient 202 | $404 |
| Ascension Complete Medicare Advantage | 1220_ascension Complete Medica | $408 |
| Centurion Of Tn | 1224_medicare Advantage Centurion Of Tn Outpatient 2 | $408 |
| Clover Medicare Advantage | 1225_medicare Advantage Clover Outpatient | $408 |
| Healthspring Mcr Replacement | 1226_medicare Advantage Healthspring Ou | $408 |
| Humana Mcr Replacement | 1227_medicare Advantage Humana Outpatient 202 | $408 |
| Medicare Other | 1232_medicare Other Outpatient 20250101 | $408 |
| Nhc Advantage | 1228_medicare Advantage Nhc Outpatient 20250101 | $408 |
| Optum Va | 1215_medicare Advantage Optum Va Outpatient 20250101 | $408 |
| Triwest Va Pccc | 1216_medicare Triwest Outpatient 20250101 | $408 |
| UHC Mcr Replacement | 1230_medicare Advantage United Health Care Outpa | $408 |
| Aetna Medadvantage | 1231_medicare Aetna Outpatient 20250101 | $416 |
| Amerigroup Mcr Replacement | 1221_medicare Advantage Amerigroup Outpat | $420 |
| BCBS Blucare Plus | 1222_medicare Advantage Blue Cross Blue Shield Blu | $424 |
| BCBS Medicare Replacement | 1223_medicare Advantage Blue Cross Blue Sh | $428 |
| Windsor Medicare | 1233_medicare Wellcare (Windsor) Outpatient 2025010 | $428 |
| Ambetter Of Tn | 1212_ambetter Of Tn Outpatient 20250101 | $530 |
| Oscar Health Plan | 1213_bhtn Oscar Health Outpatient 20250101 | $571 |
| Smart Health | 1214_bhtn Ascension Smarthealth Outpatient 20250101 | $571 |
| BCBS Missionpoint | 1012_blue Cross Blue Shield Missionpoint 20221001 | $946 |
| BCBS Network E | 1306_blue Cross Blue Shield Network E 20250401 | $1,244 |
| BCBS Network L | 1307_blue Cross Blue Shield Network L 20250401 | $1,352 |
| BCBS Select | 1312_bhtn Blue Cross Blue Shield Select 20250701 | $1,425 |
| BCBS Preferred | 1311_bhtn Blue Cross Blue Shield Preferred 20250701 | $1,651 |
| Aetna | 1308_bhtn Aetna 20250701 | $2,500 |
| Aetna Vhan | 1203_bhtn Aetna Vhan 20241001 | $2,500 |
Inpatient
—cash price (self-pay)
—list price
$367–$571range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point Comfort Underwriters | 1327_medicare Advantage Point Comfort Und | $367 |
| Americhoice Mcr Replacement | 1323_americhoice Medicare Inpatient 2025 | $383 |
| Tricare | 1319_tricare Ip 20251001 | $392 |
| Ascension Complete Medicare Advantage | 1335_ascension Complete Medica | $408 |
| Centurion Of Tn | 1332_medicare Advantage Centurion Of Tn Inpatient 20 | $408 |
| Clover Medicare Advantage | 1331_medicare Advantage Clover Inpatient 2 | $408 |
| Covid Uninsured Test Fund | 1320_covid Uninsured Test Fund Inpatient 2 | $408 |
| Healthspring Mcr Replacement | 1330_medicare Advantage Healthspring In | $408 |
| Humana Mcr Replacement | 1329_medicare Advantage Humana Inpatient 2025 | $408 |
| Medicare Other | 1322_medicare Other Inpatient 20251001 | $408 |
| Nhc Advantage | 1328_medicare Advantage Nhc Inpatient 20251001 | $408 |
| Optum Va | 1338_medicare Advantage Optum Va Inpatient 20251001 | $408 |
| Triwest Va Pccc | 1339_medicare Triwest Inpatient 20251001 | $408 |
| UHC Mcr Replacement | 1324_uhc Medicare Inpatient 20251001 | $408 |
| Aetna Medadvantage | 1326_medicare Aetna Inpatient 20251001 | $416 |
| Amerigroup Mcr Replacement | 1334_medicare Advantage Amerigroup Inpati | $420 |
| BCBS Blucare Plus | 1333_medicare Advantage Blue Cross Blue Shield Blu | $424 |
| BCBS Medicare Replacement | 1340_medicare Advantage Blue Cross Blue Sh | $428 |
| Windsor Medicare | 1325_medicare Wellcare (Windsor) Inpatient 20251001 | $428 |
| Ambetter Of Tn | 1337_ambetter Of Tn Inpatient 20251001 | $530 |
| Smart Health | 1321_bhtn Ascension Smarthealth Inpatient 20251001 | $571 |
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