Emergency visit, high (level 4) at Sentara Northern Virginia Medical Center. CPT 99284.
What Sentara Northern Virginia Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$910cash price (self-pay)
$1,819list price
$415–$962range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $415 |
| Humana | Medicare Managed Care Plan | $419 |
| Bcbs | Anthem Medicare Managed Care Plan | $426 |
| Unitedhealthcare | Dsnp Medicare Managed Care Plan | $427 |
| Bcbs | Anthem Exchange | $837 |
| Bcbs | Anthem Hmo | $901 |
| Bcbs | Anthem Ppo | $962 |
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All common services at Sentara Northern Virginia Medical Center