Emergency visit, high (level 4) at Westerly Hospital. CPT 99284.
What Westerly Hospital publishes for this service, straight from its standard-charges file, last updated September 19, 2026.
Outpatient / ER
$270cash price (self-pay)
$1,326list price
$133–$2,474range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Advantage - Anthem | All Plans | $164 |
| Cigna | All Plans | $208 |
| Medicare Advantage - Wellcare | All Plans | $209 |
| Medicare Advantage - CtCare | All Plans | $210 |
| Medicare Advantage - Aetna | All Plans | $229 |
| Medicare Advantage - UHC | All Plans | $233 |
| Great West Network | All Plans | $273 |
| Champus | All Plans | $285 |
| Optum | All Plans | $292 |
| CtCare | All Plans | $303 |
| Tufts Health Plan | All Plans | $323 |
| Anthem | All Plans | $388 |
| UHC | All Plans | $446 |
| Create Alliance | All Plans | $477 |
| Advanced Medical Pricing Solutions (AMPS) | All Plans | $477 |
| ClaimDOC | All Plans | $477 |
| Oxford | All Plans | $503 |
| MultiPlan | All Plans | $584 |
| Aetna | All Plans | $844 |
| Harvard Pilgrim | All Plans | $863 |
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