Emergency visit, high (level 4) at The Queen's North Hawaii Community Hospital. CPT 99284.
What The Queen's North Hawaii Community Hospital publishes for this service, straight from its standard-charges file, last updated March 9, 2026.
Outpatient / ER
$2,183cash price (self-pay)
$3,118list price
$440–$1,471range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicaid | $440 |
| AlohaCare | Medicaid | $525 |
| AlohaCare | Medicare | $525 |
| HMSA | Medicare | $525 |
| Kaiser | Medicare Advantage | $525 |
| MDX Hawaii | Medicare | $525 |
| Ohana Care | Medicare | $525 |
| United Behavioral Health | Medicare | $525 |
| United Healthcare | Medicare | $525 |
| HMSA | Medicaid | $580 |
| HMSA | Commercial | $1,258 |
| Kaiser | Commercial | $1,471 |
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All common services at The Queen's North Hawaii Community Hospital