Emergency visit, high (level 4) at Jackson-Madison County General Hospital. CPT 99284.
What Jackson-Madison County General Hospital publishes for this service, straight from its standard-charges file, last updated June 5, 2026.
Outpatient / ER
$1,366cash price (self-pay)
$4,553list price
$379–$4,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| ChoiceCare | Medicare Advantage | $379 |
| Veterans Affairs | Community Care Network | $379 |
| Cigna-HealthSpring | Medicare Advantage | $381 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $390 |
| Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $390 |
| Celtic Insurance Company | Commercial-Exchange | $587 |
| River Valley Plan | TennCare | $858 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $1,462 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $1,682 |
| Blue Cross Blue Shield of Tennessee | Network P | $1,828 |
| United Healthcare | All Payer | $1,882 |
| Aetna | West TN Employee Network | $1,976 |
| Aetna | Whole Health | $2,226 |
| Aetna | Commercial | $2,611 |
| ChoiceCare | Commercial | $3,415 |
| ChoiceCare | KY Medicaid HMO | $4,553 |
Inpatient
$1,366cash price (self-pay)
$4,553list price
$2,923–$4,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $2,923 |
| ChoiceCare | Commercial | $3,415 |
| ChoiceCare | KY Medicaid HMO | $4,553 |
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All common services at Jackson-Madison County General Hospital