Emergency visit, high (level 4) at Hilo Benioff Medical Center. CPT 99284.
What Hilo Benioff Medical Center publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$121cash price (self-pay)
$3,071list price
$115–$2,979range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHealthcare | Medicaid | $118 |
| AlohaCare | Medicaid | $129 |
| AlohaCare | Medicare | $304 |
| Hawaii Medical Service Association | Medicare | $304 |
| Ohana Health Plan | Medicare | $304 |
| UnitedHealthcare | Medicare | $304 |
| Kaiser Permanente | Medicare | $316 |
| Ohana Health Plan | Medicaid | $330 |
| Devoted Health | Medicare | $335 |
| Humana | Medicare | $493 |
| Hawaii Medical Service Association | Non-ABD | $520 |
| Kaiser Permanente | Medicaid | $538 |
| Hawaii Medical Service Association | ABD | $569 |
| Kaiser Permanente | Commercial | $1,037 |
| Health Management Network | Commercial | $1,391 |
| Hawaii Western Management Group | Commercial | $1,519 |
| Hawaii Medical Service Association | Commercial | $1,600 |
| University Health Alliance | Commercial | $2,238 |
| MDX Hawaii | PPO | $2,979 |
Inpatient
$1,843cash price (self-pay)
$3,071list price
$2,610–$2,979range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Management Network | Commercial | $2,610 |
| MDX Hawaii | PPO | $2,979 |
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