Emergency visit, high (level 4) at The William W. Backus Hospital. CPT 99284.
What The William W. Backus Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$449cash price (self-pay)
$3,483list price
$171–$6,645range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 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 |
| Health New England | Health New England Managed Care | $173 |
| Wellcare | Wellcare Medicare | $174 |
| Aetna | Aetna Medicare | $175 |
| Oxford | United Managed Care - Oxford Only | $176 |
| United | United Managed Care | $2,295 |
| Anthem | Anthem Individual | $3,435 |
| Cigna | Cigna Managed Care | $4,060 |
| MOLINA dba CONNECTICARE | MOLINA EXCHANGE/MARKETPLACE | $4,088 |
| MOLINA dba CONNECTICARE | MOLINA MANAGED CARE | $4,419 |
| Anthem | Anthem Managed Care | $4,580 |
| Aetna | Aetna Managed Care - Middlesex Only | $6,313 |
| Aetna | Aetna Managed Care | $6,645 |
| Aetna | Aetna Signature Administrators | $6,645 |
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