Emergency visit, high (level 4) at Covenant Medical Center. CPT 99284.
What Covenant Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$0.42cash price (self-pay)
$2,032list price
$419–$1,833range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $419 |
| Superior Healthplan | Wellcare Medicare Managed Care Plan | $440 |
| Unitedhealthcare | Medicare Managed Care Plan | $442 |
| Aetna | Preferred Other Commercial Plan | $556 |
| Bcbs | Blue Essentials Hmo | $1,200 |
| Bcbs | Par Traditional | $1,397 |
| Bcbs | Ers Blue Essentials For Healthselect Members Hmo | $1,727 |
| Bcbs | Ppo | $1,833 |
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