Emergency visit, high (level 4) at Holy Cross Hospital. CPT 99284.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$40.48cash price (self-pay)
$253list price
$12.27–$4,995range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $427 |
| Positive Healthcare Partners Medicare | Positive Health Partners Medic | $436 |
| Blue Cross - FL Medicare Advantage | BCBS Medicare Advantage | $436 |
| Careplus Health Plans | Careplus Medicare Advantage | $437 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $440 |
| Wellcare Medicare | Wellcare Medicare Advantage | $448 |
| Healthsun Medicare Advantage | Healthsun Medicare Advantage | $448 |
| Avmed Medicare | Avmed Medicare Advantage | $458 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $458 |
| Ambetter | Ambetter Marketplace | $762 |
| Centivo | Centivo | $937 |
| Wc Broward County | Workers Comp | $962 |
| Global Health Claim Services | International | $1,261 |
| Penfield Care | International | $1,261 |
| Allianz Global Assistance | International | $1,261 |
| National Healthcare Solutions | International | $1,261 |
| Desjardins Financial Security Life Assurance | International | $1,261 |
| Olympus Managed Health Care | International | $1,261 |
| Ww Concierge Healthcare Service | International | $1,261 |
| Axa Assistance Us | International | $1,261 |
| Axis Services | International | $1,261 |
| Phcs | Phcs | $1,471 |
| Cigna | Cigna Surefit | $1,763 |
| Multiplan | Beech Street | $1,997 |
| Blue Cross - FL | BCBS Network Blue | $3,044 |
| Blue Cross - Nv (Anthem) | BCBS Ppc | $3,406 |
| Bcn Domestic | BCBS Ppc | $3,406 |
| Blue Cross Domestic | BCBS Ppc | $3,406 |
| Kaiser Domestic | BCBS Ppc | $3,406 |
| Blue Shield - Id (Regence) | BCBS Ppc | $3,406 |
Inpatient
$448cash price (self-pay)
$448list price
$76.68–$435range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Triwest Health Alliance | Tricare | $119 |
| Humana Medicare Advantage | Humana Medicare Advantage | $125 |
| Rx Allwin | Medicare | $125 |
| Molina Medicare Advantage | Medicare | $125 |
| Blue Cross - Ak (Premera) | BCBS PPO Trad | $174 |
| Blue Cross - Nh (Anthem) | BCBS PPO Trad | $174 |
| Blue Cross - Nj (Horizon) | BCBS PPO Trad | $174 |
| Blue Cross - MA | BCBS PPO Trad | $174 |
| Blue Cross - Ms | BCBS PPO Trad | $174 |
| Blue Cross - Mt | BCBS PPO Trad | $174 |
| Blue Cross - Me (Anthem) | BCBS PPO Trad | $174 |
| Blue Cross - Md (Carefirst) | BCBS PPO Trad | $174 |
| Blue Cross - Ky (Anthem) | BCBS PPO Trad | $174 |
| Blue Cross - La | BCBS PPO Trad | $174 |
| Blue Cross - Id | BCBS PPO Trad | $174 |
| Blue Shield - Id (Regence) | BCBS PPO Trad | $174 |
| Blue Cross - Ga (Anthem) | BCBS PPO Trad | $174 |
| Kaiser Domestic | BCBS PPO Trad | $174 |
| Wc Berkley Admin | Workers Comp | $222 |
| Wc Mac Risk Management | Workers Comp | $222 |
| Wc Aig | Workers Comp | $222 |
| Wc Pma | Workers Comp | $222 |
| Wc West Bend Mutual/Argent | Workers Comp | $222 |
| Wc Travelers | Workers Comp | $222 |
| Wc Ohio Bureau | Workers Comp | $222 |
| Wc Peerless | Workers Comp | $222 |
| Wc Sedgwick | Workers Comp | $222 |
| Wc Society | Workers Comp | $222 |
| Wc One Call Medical | Workers Comp | $222 |
| Wc Cna | Workers Comp | $222 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.