Emergency visit, high (level 4) at WTH Henry County Hospital. CPT 99284.
What WTH Henry County Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$1,396cash price (self-pay)
$1,396list price
$149–$1,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Tennessee | BlueCare | $149 |
| Blue Cross Blue Shield of Tennessee | TennCareSelect | $153 |
| Blue Cross Blue Shield of Tennessee | CoverKids | $166 |
| Amerigroup | Medicare Advantage | $379 |
| Blue Cross Blue Shield of Tennessee | BlueCare Plus | $379 |
| Harmony Health Plan | Medicare Advantage | $379 |
| Humana | Medicare Advantage PPO | $386 |
| Aetna | Medicare Advantage | $390 |
| American Health Plan | Medicare Advantage | $390 |
| Blue Cross Blue Shield of Tennessee | BlueAdvantage PPO | $390 |
| Cigna-HealthSpring | Medicare Advantage | $390 |
| River Valley Plan | SNP | $390 |
| Tennessee Rural Health Improvement Association | Medicare Advantage Pr | $390 |
| Windsor Health Plan | Medicare Extra | $390 |
| Amerigroup | TennCare Medicaid | $425 |
| Cigna | HMO/Network/Open Access Plus | $428 |
| Cigna | IFP/LocalPlus | $428 |
| River Valley Plan | TennCare | $558 |
| Ambetter | Commercial-Exchange | $757 |
| Celtic Insurance Company | Commercial-Exchange | $757 |
| Aetna | Commercial | $907 |
| United Healthcare | TennCare | $929 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $1,462 |
Inpatient
$1,396cash price (self-pay)
$1,396list price
$558–$558range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| River Valley Plan | TennCare | $558 |
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