Emergency visit, high (level 4) at WTH Dyersburg Hospital. CPT 99284.
What WTH Dyersburg Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$1,366cash price (self-pay)
$4,553list price
$379–$4,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Affairs | Community Care Network | $379 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $390 |
| River Valley Plan | TennCare | $426 |
| Cigna | HMO/Network/Open Access Plus | $428 |
| Cigna | IFP/LocalPlus | $428 |
| Celtic Insurance Company | Commercial-Exchange | $587 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $1,462 |
| Aetna | VHAN - Employee Networks | $1,976 |
| Aetna | Whole Health | $2,226 |
| Aetna | New Business Discount - Commercial | $2,327 |
| Aetna | Commercial | $2,923 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $3,966 |
| Blue Cross Blue Shield of Tennessee | Network P | $4,231 |
| Home State Health Plan | MO HealthNet Medicaid | $4,553 |
Inpatient
$1,366cash price (self-pay)
$4,553list price
$2,327–$4,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | New Business Discount - Commercial | $2,327 |
| Aetna | Commercial | $2,923 |
| Home State Health Plan | MO HealthNet Medicaid | $4,553 |
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