Emergency visit, high (level 4) at CHI Memorial Hospital Hixson. CPT 99284.
What CHI Memorial Hospital Hixson publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$529cash price (self-pay)
$1,788list price
$171–$2,577range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - TN | Medicaid|BlueCare | $171 |
| Amerigroup | Medicaid|All Plans | $315 |
| Peach State | Medicaid|All Plans | $358 |
| BCBS - ND | Medicare|All Plans | $397 |
| Cigna | Medicare|Healthspring | $401 |
| Humana | Medicare|HMO | $404 |
| Amerigroup | Medicare|All Plans | $408 |
| Humana | Medicare|All Other Plans | $420 |
| Humana | Medicare|PPO | $420 |
| United | Medicaid|TennCare | $582 |
| Health One Alliance | Commercial|All Plans | $614 |
| Alliant Health | Commercial|All Plans | $659 |
| Multiplan | Commercial|All Plans | $692 |
| Centene | Commercial|Ambetter Exchange | $717 |
| Employers Health Network | Commercial|All Plans | $1,024 |
| Cigna | Commercial|LocalPlus | $1,095 |
| Aetna | Commercial|Gatekeeper | $1,162 |
| BCBS - TN | Commercial|Network S | $1,174 |
| Cigna | Commercial|Open Access | $1,219 |
| Humana | Commercial|All Plans | $1,222 |
| Aetna | Commercial|Non-Gatekeeper | $1,341 |
| BCBS - TN | Commercial|Network P | $1,521 |
| United | Commercial|Non-Options | $2,577 |
| United | Commercial|Options | $2,577 |
Inpatient
$529cash price (self-pay)
$1,788list price
—range insurers pay
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