Emergency visit, high (level 4) at Charlotte Hungerford Hospital. CPT 99284.
What Charlotte Hungerford Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$416cash price (self-pay)
$3,483list price
$164–$2,616range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Connecticare | Connecticare Managed Care | $164 |
| Anthem | Anthem Medicare | $171 |
| Health New England | Health New England Medicare | $171 |
| MOLINA dba CONNECTICARE | MOLINA dba CONNECTICARE MEDICARE | $171 |
| Tufts | Tufts Medicare | $171 |
| United | United Medicare | $171 |
| Connecticare | Connecticare Exchange/Marketplace | $171 |
| Oxford | United Managed Care - Oxford Only | $171 |
| Health New England | Health New England Managed Care | $173 |
| Wellcare | Wellcare Medicare | $174 |
| Aetna | Aetna Medicare | $175 |
| Cigna | Cigna Managed Care | $185 |
| Anthem | Anthem Individual | $1,015 |
| United | United Managed Care | $1,127 |
| Aetna | Aetna Managed Care | $1,143 |
| Anthem | Anthem Managed Care | $1,312 |
| Aetna | Aetna Managed Care - Middlesex Only | $1,995 |
| Aetna | Aetna Signature Administrators | $2,100 |
| MOLINA dba CONNECTICARE | MOLINA EXCHANGE/MARKETPLACE | $2,420 |
| MOLINA dba CONNECTICARE | MOLINA MANAGED CARE | $2,616 |
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