Emergency visit, high (level 4) at Maury Regional Medical Center. CPT 99284.
What Maury Regional Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,068cash price (self-pay)
$2,605list price
$155–$4,650range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS of Tennessee | Medicaid | $160 |
| BCBS of Tennessee | TennCare Select | $194 |
| Wellpoint | Medicaid | $310 |
| Cigna | Medicare Advantage | $408 |
| Humana Military | Tricare | $408 |
| Humana | Medicare Advantage | $408 |
| Medicare | Medicare | $408 |
| UnitedHealthcare | Dual Special Needs | $408 |
| UnitedHealthcare | Veterans Affairs | $408 |
| Wellpoint | Medicare Advantage | $408 |
| UnitedHealthcare | Medicare Advantage | $416 |
| Aetna | Medicare Advantage | $420 |
| American Health Plans | Medicare Advantage | $420 |
| NHC | Medicare Advantage | $420 |
| WellCare Harmony Health | Medicare Advantage | $420 |
| BCBS of Tennessee | Dual Special Needs | $422 |
| BCBS of Tennessee | Medicare Advantage | $422 |
| ClaimDOC | Commercial | $979 |
| Partners Direct Health | Commercial | $979 |
| UnitedHealthcare | Medicaid | $1,008 |
| Oscar | Commercial Exchange | $1,040 |
| Ambetter | Commercial Exchange | $1,056 |
| UnitedHealthcare | Commercial | $1,211 |
| BCBS of Tennessee | Commercial Network P | $1,276 |
| BCBS of Tennessee | Commercial Network S | $1,276 |
| Cigna | Commercial | $1,295 |
| Wayne County Jail | Commercial | $1,303 |
| Lawrence County Jail | Commercial | $1,954 |
| Lewis County Jail | Commercial | $1,954 |
| Marshall County Jail | Commercial | $1,954 |
Inpatient
$1,068cash price (self-pay)
$2,605list price
$972–$2,605range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Medicaid | $972 |
| Wayne County Jail | Commercial | $1,303 |
| Lawrence County Jail | Commercial | $1,954 |
| Lewis County Jail | Commercial | $1,954 |
| Marshall County Jail | Commercial | $1,954 |
| State of Tennessee | Workers Compensation | $2,084 |
| Aetna | Commercial | $2,345 |
| FirstHealth | Commercial | $2,501 |
| Tennessee Carriers, Inc. | Medicaid | $2,605 |
| Wellpoint TCI | Medicaid | $2,605 |
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