Emergency visit, high (level 4) at Carilion Roanoke Community Hospital. CPT 99284.
What Carilion Roanoke Community Hospital publishes for this service, straight from its standard-charges file, last updated December 15, 2025.
Outpatient / ER
$762cash price (self-pay)
$2,178list price
$86.82–$2,069range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Healthkeeper Plus | Managed Medicaid | $86.82 |
| Sentara Health Plan | Managed Medicaid | $88.48 |
| Humana Medicaid | Managed Medicaid | $90.96 |
| ABH of WVA (formerly Coventry) | Managed Medicaid | $90.96 |
| ABH of VA (formerly Coventry) | Managed Medicaid | $90.96 |
| United Healthcare - Medicaid | Managed Medicaid | $90.96 |
| Aetna - Medicare Prime | Medicare Advantage | $366 |
| Humana Military | Tricare | $376 |
| Humana - Dual Eligible | Dual Eligible | $382 |
| Humana | Medicare Advantage | $398 |
| Anthem - Medicare Advantage | Medicare Advantage | $398 |
| United Healthcare - Medicare | Medicare Advantage | $401 |
| Aetna - Medicare | Medicare Advantage | $401 |
| Sentara Health Plan | Medicare Advantage | $409 |
| United Healthcare - RCPS | Commercial | $1,091 |
| Aetna - Preferred | Commercial | $1,109 |
| Aetna | Choice POS II | $1,128 |
| Gateway - Tier 3 | Commercial | $1,198 |
| United Healthcare - Non Option PPO | Commercial | $1,245 |
| VHN - ULTRA | Commercial | $1,350 |
| Sentara Health Plan | Commercial | $1,350 |
| Anthem - Exchange | Exchange | $1,367 |
| Aetna - BoB | Commercial | $1,446 |
| Cigna - HMO | Commercial | $1,468 |
| Anthem - PPO PAR HMO | Commercial | $1,519 |
| Connecticare | Commercial | $1,525 |
| Cigna - PPO | Commercial | $1,568 |
| United Healthcare - Options PPO | Commercial | $1,569 |
| VHN - PLUS | Commercial | $1,677 |
| VHN | Commercial | $1,742 |
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