Emergency visit, high (level 4) at Summit Medical Center. CPT 99284.
What Summit Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,653cash price (self-pay)
$3,653list price
$115–$3,350range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Tenncare | $115 |
| BCBS | Coverkids | $125 |
| BCBS | BlueCare | $440 |
| United | TENNCARE | $463 |
| Kentucky Labor Cabinet | WORKERSCOMP | $672 |
| Evergreen HMO | MCR | $775 |
| Humana | TRICARE | $913 |
| United | OptionsPPO | $928 |
| Ambetter | CORE | $1,035 |
| Bright Health | HIX | $1,189 |
| Cigna | PPO | $1,191 |
| Bright Health | SmallGroup | $1,621 |
| United | GlobalBenefitPlan | $1,644 |
| Aetna | NAP | $1,826 |
| BGFH SingleSource | DIRECTNETWORK | $1,826 |
| Oscar | HIX | $1,963 |
| BCBS | NetworkP | $2,374 |
| Multiplan | COMM | $2,374 |
| United | Core | $2,387 |
| United | HeritageSelect | $2,546 |
| Employers Health Network | COMM | $2,557 |
| Cigna | NewBusiness | $2,641 |
| Aetna | NewBusiness | $2,736 |
| Cigna Evernorth Behavioral Health | COMM | $2,922 |
| ComPsych | COMM | $2,922 |
| Cigna | OAP | $2,972 |
| BGFH SingleSource | LEASEDNETWORK | $3,105 |
| United | AllPayerAppendix | $3,183 |
| Beech Street | COMM | $3,214 |
| Prime Health | COMMPPO | $3,214 |
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