Emergency visit, high (level 4) at UVA Health Medical Center. CPT 99284.
What UVA Health Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,695cash price (self-pay)
$2,825list price
$121–$3,893range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $121 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $121 |
| BLUE RIDGE PACE MEDICAID [20513] | UVAMC - Managed Medicare (Innovage) | $377 |
| BLUE RIDGE PACE [10510] | UVAMC - Managed Medicare (Innovage) | $377 |
| AETNA MEDICARE [10501] | UVAMC - Managed Medicare (various) | $419 |
| ANTHEM MEDICARE [10503] | UVAMC - Managed Medicare (various) | $419 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAMC - Managed Medicare (variou | $419 |
| HMO PART B [10099] | UVAMC - Managed Medicare (various) | $419 |
| HUMANA MEDICARE [10505] | UVAMC - Managed Medicare (various) | $419 |
| SENTARA MEDICARE [10506] | UVAMC - Managed Medicare (various) | $419 |
| Va Ccn [99926] | Uvamc - Vaccn | $419 |
| Va Ccn [99927] | Uvamc - Vaccn | $419 |
| VIRGINIA PREMIER MEDICARE [10508] | UVAMC - Managed Medicare (various) | $419 |
| AETNA IOE MEDICARE [10511] | UVAMC - Managed Medicare (various) | $419 |
| SENTARA [40021] | UVAMC - Optima (Indiv) | $903 |
| SENTARA [40021] | UVAMC - Optima (Group) | $922 |
| SENTARA BEHAVIORAL HEALTH [40052] | UVAMC - Optima (Group) | $922 |
| ANTHEM [30001] | UVAMC - Anthem Exchange | $944 |
| UNITED HEALTHCARE [40032] | UVAMC - Anthem (PPO PAR HMO) | $1,250 |
| ANTHEM [30001] | UVAMC - Anthem (PPO PAR HMO) | $1,250 |
| ANTHEM CAREFIRST [30008] | UVAMC - Anthem (PPO PAR HMO) | $1,250 |
| ANTHEM UHC [30009] | UVAMC - Anthem (PPO PAR HMO) | $1,250 |
| BEACON HEALTH OPTIONS [40012] | UVAMC - Misc. (Beacon BH) | $1,413 |
| Commercial Generic [40000] | Valleyhealth/Peak [4000016] | $1,483 |
| COMMERCIAL CONTRACTED HB ONLY [40056] | UVAMC - Valley Health | $1,483 |
| COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Custom Ink) | $1,695 |
| COMMERCIAL CONTRACTED TPA [40055] | UVAMC - Misc. (Greenbrier) | $1,978 |
| AETNA [40002] | UVAMC - Aetna UVA Preferred | $2,091 |
| FIRST HEALTH GENERIC [40033] | UVAMC - Misc. (First Health) | $2,317 |
| AETNA [40002] | UVAMC - Aetna (Comm. Book of Business) | $2,319 |
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