Emergency visit, high (level 4) at Dickenson Community Hospital. CPT 99284.
What Dickenson Community Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$295cash price (self-pay)
$1,281list price
$51.00–$1,281range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Tenncare United Healthcare | $51.00 |
| Aetna | Aetna Healthcare Medicare | $384 |
| Allcare Medicare | Allcare Medicare | $384 |
| Amerigroup | Amerigroup Medicare Wellpoint | $384 |
| Blue Cross | Anthem Medicare Virginia | $384 |
| Managed Medicaire | Managed Medicaire | $384 |
| Sentara Health | Sentara Medicare | $384 |
| United Healthcare | United Healthcare Medicare | $384 |
| United Mine Workers Of America | United Mine Workers Of America | $384 |
| Humana | Humana Medicare | $390 |
| Aetna | Aetna Better Health Of Virginia Medicare | $396 |
| Molina Healthcare | Molina Healthcare Medicare | $400 |
| Cigna Healthcare | Cigna Medicare | $404 |
| Devoted Health Plan | Devoted Health Plan Medicare | $404 |
| Nhc Advantage | Nhc Advantage | $404 |
| Medcost | Medcost Vhn | $448 |
| Sentara Health | Sentara Health | $473 |
| Ambetter | Ambetter | $474 |
| Blue Cross | Blue Cross Ballad Health Employee | $806 |
| Aetna | Aetna | $1,025 |
| Blue Cross | Anthem Exchange | $1,281 |
| Blue Cross | Anthem HMO | $1,281 |
| Blue Cross | Anthem PPO, Traditional Indemnity | $1,281 |
| Cigna Healthcare | Cigna HMO | $1,281 |
| Cigna Healthcare | Cigna Individual Family Plan | $1,281 |
| Cigna Healthcare | Cigna Open Access Plus | $1,281 |
| Cigna Healthcare | Cigna PPO | $1,281 |
| Seven Corners, Inc. | Seven Corners, Inc. | $1,281 |
| United Healthcare | UHC Heritage River Valley | $1,281 |
| United Healthcare | UHC Heritage Select | $1,281 |
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