Emergency visit, high (level 4) at UVA Health Prince William Medical Center. CPT 99284.
What UVA Health Prince William Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,241cash price (self-pay)
$2,481list price
$119–$3,734range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHAMPVA [50002] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $119 |
| TRICARE [50001] | UVAMC & UVACHM & UVAPW & UVAHM - Tricare | $119 |
| ANTHEM MEDICARE [10503] | UVAPW - Managed Medicare (various) | $432 |
| KAISER PERMANENTE MEDICARE [10513] | UVAPW - Managed Medicare (Kaiser) | $432 |
| LIFEWORKS MEDICARE [10515] | UVAPW - Managed Medicare (various) | $432 |
| MEDICARE REPLACEMENT GENERIC [10500] | UVAPW - Managed Medicare (vario | $432 |
| SENTARA MEDICARE [10506] | UVAPW - Managed Medicare (various) | $432 |
| UNITED HEALTHCARE MEDICARE [10507] | UVAPW - Managed Medicare (various | $432 |
| VETERANS ADMINISTRATION [99910] | UVAPW - Managed Medicare (various) | $432 |
| VIRGINIA PREMIER MEDICARE [10508] | UVAPW - Managed Medicare (various) | $432 |
| CIGNA HEALTHSPRING MEDICARE [10519] | UVAPW - Managed Medicare (variou | $432 |
| VA CCN [99926] | UVAPW - Managed Medicare (various) | $432 |
| VA CCN [99927] | UVAPW - Managed Medicare (various) | $432 |
| AETNA MEDICARE [10501] | UVAPW - Managed Medicare - Aetna | $436 |
| HUMANA TRANSPLANT [40054] | UVAPW - Managed Medicare (Humana) | $440 |
| HUMANA MEDICARE [10505] | UVAPW - Managed Medicare (Humana) | $440 |
| ANTHEM [30001] | UVAPW - Anthem Exchange | $934 |
| AETNA [40002] | UVAPW & UVAHM - Aetna | $1,176 |
| ANTHEM [30001] | UVAPW - Anthem (PPO PAR HMO) | $1,335 |
| ANTHEM UHC [30009] | UVAPW - Anthem (PPO PAR HMO) | $1,335 |
| UNITED HEALTHCARE [40032] | UVAPW - Anthem (PPO PAR HMO) | $1,335 |
| ANTHEM CAREFIRST [30008] | UVAPW - Anthem (PPO PAR HMO) | $1,335 |
| CIGNA [40005] | UVAPW & UVAHM - Cigna (IFP) | $1,858 |
| Cigna [40005] | Cigna 188061 Connect [4000513] | $1,858 |
| Multiplan Generic [40035] | Multiplan Generic [4003501] | $1,886 |
| Vhn Generic [40040] | Medcost/Phcs Virginia Generic [4004001] | $1,886 |
| VHN GENERIC [40040] | UVAPW & UVAHM - Misc. (PHCS) | $1,886 |
| SENTARA BEHAVIORAL HEALTH [40052] | UVAPW & UVAHM - Optima | $1,928 |
| SENTARA [40021] | UVAPW & UVAHM - Optima | $1,928 |
| CIGNA [40005] | UVAPW - Evernorth (Cigna BH) | $1,985 |
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All common services at UVA Health Prince William Medical Center