AdventHealth Polk — ER visit prices
← Hospital overviewVerified from AdventHealth Polk’s published price file
Includes list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
10 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC CAH II ED VISIT HIGH SEVERITY&THREAT FUNC Inpatient & outpatient | 99285 HCPCS | $941 | — | — | — | |
| HC CAH II ED VISIT HIGH/URGENT SEVERITY Inpatient & outpatient | 99284 HCPCS | $602 | — | — | — | |
| HC CAH II ED VISIT LIMITED/MINOR PROB Inpatient & outpatient | 99281 HCPCS | $108 | — | — | — | |
| HC CAH II ED VISIT LOW/MODER SEVERITY Inpatient & outpatient | 99282 HCPCS | $200 | — | — | — | |
| HC CAH II ED VISIT MODERATE SEVERITY Inpatient & outpatient | 99283 HCPCS | $390 | — | — | — | |
| HC EMERGENCY DEPARTMENT VISIT LEVEL 1 Inpatient & outpatient | 99281 HCPCS | $255 | — | — | — | |
| HC EMERGENCY DEPARTMENT VISIT LEVEL 2 Inpatient & outpatient | 99282 HCPCS | $447 | — | — | — | |
| HC EMERGENCY DEPARTMENT VISIT LEVEL 3 Inpatient & outpatient | 99283 HCPCS | $1,168 | — | — | — | |
| HC EMERGENCY DEPARTMENT VISIT LEVEL 4 Inpatient & outpatient | 99284 HCPCS | $1,713 | — | — | — | |
| HC EMERGENCY DEPARTMENT VISIT LEVEL 5 Inpatient & outpatient | 99285 HCPCS | $2,175 | — | — | — |