Emergency visit, high (level 4) at Sycamore Shoals Hospital. CPT 99284.
What Sycamore Shoals Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$300cash price (self-pay)
$2,002list price
$50.00–$2,002range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $50.00 |
| Amerigroup | Amerigroup | $60.00 |
| Blue Cross | Tenncare Blue Care | $134 |
| Blue Cross | Tenncare Blue Select | $134 |
| Aetna | Aetna Better Health Of Virginia Medicare | $379 |
| Aetna | Aetna Healthcare Medicare | $379 |
| Allcare Medicare | Allcare Medicare | $379 |
| Amerigroup | Amerigroup Medicare Wellpoint | $379 |
| Humana | Humana Medicare | $379 |
| Managed Medicaire | Managed Medicaire | $379 |
| Sentara Health | Sentara Medicare | $379 |
| United Healthcare | United Healthcare Medicare | $379 |
| United Mine Workers Of America | United Mine Workers Of America | $379 |
| Blue Cross | Anthem Medicare Virginia | $390 |
| Blue Cross | Blue Cross Medicare | $394 |
| Molina Healthcare | Molina Healthcare Medicare | $394 |
| Cigna Healthcare | Cigna Medicare | $398 |
| Devoted Health Plan | Devoted Health Plan Medicare | $398 |
| Nhc Advantage | Nhc Advantage | $398 |
| Wellcare | Wellcare Medicare | $401 |
| Sentara Health | Sentara Health | $557 |
| Blue Cross | Blue Cross E Network | $665 |
| Blue Cross | Blue Cross P Network | $679 |
| Blue Cross | Blue Cross S Network | $679 |
| Medcost | Medcost Vhn | $701 |
| Blue Cross | Blue Cross Ballad Health Employee | $806 |
| Ambetter | Ambetter | $825 |
| Aetna | Aetna | $1,277 |
| United Healthcare | UHC Heritage Select | $1,491 |
| First Health Coventry | First Health Coventry | $1,502 |
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