Emergency visit, high (level 4) at Wayne Memorial Hospital. CPT 99284.
What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$1,185cash price (self-pay)
$2,370list price
$1,588–$3,228range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA Healthgram City Employee | Contract | $1,588 |
| AETNA | Commercial | $1,738 |
| First Health | Commercial | $1,778 |
| HUMANA ChoiceCare | Commercial | $1,896 |
| United Healthcare | Commercial | $1,991 |
| PHCS | Commercial | $2,133 |
| Super Med | Commercial | $2,133 |
| Blue Cross PAR PPO | PPO | $3,228 |
| Blue Cross Open Access HMO | HMO | $3,228 |
Inpatient
$1,185cash price (self-pay)
$2,370list price
$1,588–$2,133range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA Healthgram City Employee | Contract | $1,588 |
| AETNA | Commercial | $1,738 |
| First Health | Commercial | $1,778 |
| CIGNA | Commercial | $1,806 |
| HUMANA ChoiceCare | Commercial | $1,896 |
| United Healthcare | Commercial | $1,991 |
| PHCS | Commercial | $2,133 |
| Super Med | Commercial | $2,133 |
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