Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
ER LEVEL 4 W/PROC MOD25
Mobile, AL
See all hospitals reporting CPT 99284 →Price type
Springhill Memorial Hospital’s median price of $383 is 39% below the median hospital's median price ($629), higher than 15% of the 2,555 hospitals reporting CPT 99284. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Bcbs Al blue advantage (medicare advantage) other · outpatient | $249.85 | $249.85 | $249.85 – $249.85 |
| 2 | Bcbs Al commercial ppo other · outpatient | $249.85 | $249.85 | $249.85 – $249.85 |
| 3 | UnitedHealthcare commercial all payer other · outpatient | $373.21 | $373.21 | $373.21 – $373.21 |
| 4 | Tricare standard other · outpatient | $378.87 | $378.87 | $373.21 – $384.52 |
| 5 | Humana standard other · outpatient | $381.03 | $381.03 | $381.03 – $381.03 |
| 6 | Aetna aetna commercial - complete rate data (hmo/ppo/pos) other · outpatient | $390.77 | $390.77 | $390.77 – $390.77 |
| 7 | Aetna medicare advantage hmo/ppo/pos other · outpatient | $390.77 | $390.77 | $390.77 – $390.77 |
| 8 | Devoted medicare advantage other · outpatient | $390.77 | $390.77 | $390.77 – $390.77 |
| 9 | Optum standard other · outpatient | $390.77 | $390.77 | $390.77 – $390.77 |
| 10 | WellCare medicare advantage other · outpatient | $390.77 | $390.77 | $390.77 – $390.77 |
| 11 | Cigna commercial other · outpatient | $408.56 | $408.56 | $408.56 – $408.56 |
| 12 | Molina standard other · outpatient | $461.06 | $461.06 | $261.72 – $660.40 |
| 13 | Medica standard other · outpatient | $580.80 | $580.80 | $580.80 – $580.80 |
| 14 | UnitedHealthcare medicare advantage other · outpatient | $615.00 | $615.00 | $615.00 – $615.00 |
| 15 | Caresource standard other · outpatient | $774.40 | $774.40 | $774.40 – $774.40 |
Last updated: Apr 2, 2026
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