Emergency visit, high (level 4) at Lewisgale Medical Center. CPT 99284.
What Lewisgale Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,289cash price (self-pay)
$2,289list price
$398–$3,919range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | NPR | $398 |
| Virginia Health Network | ULTRA | $801 |
| United | OptionsPPO | $835 |
| Cigna | HMO | $918 |
| Cigna | PPO | $1,007 |
| United | GlobalBenefitPlan | $1,030 |
| Naphcare | Federal | $1,145 |
| Greenvbrier Sporting Club | COMM | $1,373 |
| Graham-White Manufacturing | COMM | $1,602 |
| Richfield Nursing Center | COMM | $1,602 |
| Virginia Health Network | COMM | $1,625 |
| Virginia Health Network | WC | $1,625 |
| CorVel | WorkersComp | $1,648 |
| Community Care Network | COMM | $1,717 |
| Richfield Retirement Community | COMM | $1,717 |
| CSX Hotels | Product | $1,831 |
| OccuNet Workers Comp | WorkersComp | $1,831 |
| One Health Plan | POS | $1,831 |
| One Health Plan | PPO | $1,831 |
| Patients Choice | COMM | $2,014 |
| 4Most | COMM | $2,060 |
| Alleghany Highland Community | COMM | $2,060 |
| American Postal Workers Union | COMM | $2,060 |
| C&O Employees Hospital Assn | COMM | $2,060 |
| Multiplan | PHCS | $2,060 |
| Phcs | Comm | $2,060 |
| Star Transportation | COMM | $2,060 |
| Aetna | SharedSavings | $2,528 |
| Anthem | HIX | $3,034 |
| Sentara Optima Health | HMO | $3,348 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.