Emergency visit, high (level 4) at Sentara Martha Jefferson Hospital. CPT 99284.
What Sentara Martha Jefferson Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$631cash price (self-pay)
$1,262list price
$415–$1,488range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Sentara Health Plan | Medicare Managed Care Plan | $415 |
| Humana | Medicare Managed Care Plan | $419 |
| Bcbs | Anthem Medicare Managed Care Plan | $426 |
| Aetna | Medicare Managed Care Plan | $427 |
| Bcbs | Anthem Exchange | $1,287 |
| Bcbs | Anthem Hmo | $1,384 |
| Bcbs | Anthem Ppo | $1,488 |
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