Emergency visit, high (level 4) at Wayne Medical Center. CPT 99284.
What Wayne Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$650cash price (self-pay)
$1,586list price
$155–$4,613range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS of Tennessee | Medicaid | $160 |
| BCBS of Tennessee | TennCare Select | $194 |
| Humana Military | Tricare | $408 |
| Ambetter | Commercial Exchange | $452 |
| American Health Plans | Medicare Advantage | $452 |
| Cigna | Medicare Advantage | $452 |
| Humana | Medicare Advantage | $452 |
| Medicare | Medicare | $452 |
| Oscar | Commercial Exchange | $452 |
| UnitedHealthcare | Dual Special Needs | $452 |
| UnitedHealthcare | Veterans Affairs | $452 |
| Wellpoint | Medicare Advantage | $452 |
| UnitedHealthcare | Medicare Advantage | $461 |
| Aetna | Medicare Advantage | $466 |
| NHC | Medicare Advantage | $466 |
| Wellcare Harmony Health | Medicare Advantage | $466 |
| BCBS of Tennessee | Dual Special Needs | $468 |
| BCBS of Tennessee | Medicare Advantage | $468 |
| Wellpoint | Medicaid | $506 |
| UnitedHealthcare | Medicaid | $620 |
| BCBS of Tennessee | Commercial Network P | $714 |
| BCBS of Tennessee | Commercial Network S | $714 |
| UnitedHealthcare | Commercial | $777 |
| Wayne County Jail | Commercial | $793 |
| Cigna | Commercial | $845 |
| Aetna | Whole Health & VHAN | $990 |
| ClaimDOC | Commercial | $1,085 |
| Partners Direct Health | Commercial | $1,085 |
| Lewis County Jail | Commercial | $1,190 |
| Marshall County Jail | Commercial | $1,190 |
Inpatient
$650cash price (self-pay)
$1,586list price
$793–$1,586range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wayne County Jail | Commercial | $793 |
| Lewis County Jail | Commercial | $1,190 |
| Marshall County Jail | Commercial | $1,190 |
| Aetna | Commercial | $1,427 |
| Aetna | Medicare Advantage | $1,586 |
| Humana | Medicare Advantage | $1,586 |
| Medicare | Medicare | $1,586 |
| Tennessee Carriers, Inc. | Medicaid | $1,586 |
| UnitedHealthcare | Dual Special Needs | $1,586 |
| UnitedHealthcare | Veterans Affairs | $1,586 |
| Wellpoint | Medicaid | $1,586 |
| Wellpoint | Medicare Advantage | $1,586 |
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