Emergency visit, high (level 4) at Windham Community Memorial Hospital. CPT 99284.
What Windham Community Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$440cash price (self-pay)
$3,483list price
$171–$4,010range 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 |
| Connecticare | Connecticare Exchange/Marketplace | $197 |
| Connecticare | Connecticare Managed Care | $215 |
| Aetna | Aetna Managed Care | $2,098 |
| Anthem | Anthem Individual | $2,647 |
| Anthem | Anthem Managed Care | $3,529 |
| Cigna | Cigna Managed Care | $3,560 |
| MOLINA dba CONNECTICARE | MOLINA EXCHANGE/MARKETPLACE | $3,657 |
| Aetna | Aetna Managed Care - Middlesex Only | $3,810 |
| MOLINA dba CONNECTICARE | MOLINA MANAGED CARE | $3,954 |
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