Emergency visit, high (level 4) at Copley Memorial Hospital. CPT 99284.
What Copley Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 26, 2026.
Outpatient / ER
$1,755cash price (self-pay)
$3,510list price
$447–$4,774range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Bco/Bcs | BCBS Bco/Bcs | $447 |
| Meridian Dnsp | Meridian Dnsp | $470 |
| BCBS PPO - All Other Plans | BCBS PPO - All Other Plans | $480 |
| BCBS Exch/Bce | BCBS Exch/Bce | $481 |
| Cigna Exch Ifp | Cigna Exch Ifp | $537 |
| Cigna One Health | Cigna One Health | $727 |
| BCBS HMO Ip/Op Only | BCBS HMO Ip/Op Only | $951 |
| Aetna Preferred | Aetna Preferred | $1,137 |
| Cigna Comm - All Other Plans | Cigna Comm - All Other Plans | $1,429 |
| UHC Core/Navigate/Nexus/Charter | UHC Core/Navigate/Nexus/Charter | $1,839 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $1,860 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $2,043 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $3,510 |
| UHC Mcr Adv | UHC Mcr Adv | $3,510 |
| Aetna Mcr Adv | Aetna Mcr Adv | $3,510 |
| BCBS Mcr Adv | BCBS Mcr Adv | $3,510 |
| Cigna Mcr Adv | Cigna Mcr Adv | $3,510 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $3,510 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $3,510 |
| Aetna Fide Snp | Aetna Fide Snp | $3,615 |
| Molina Fide-Snp | Molina Fide-Snp | $3,650 |
| Zing Health Mcr Adv - All Plans | Zing Health Mcr Adv - All Plans | $3,721 |
| UHC Exch | UHC Exch | $4,563 |
| Molina Exch - All Other Plans | Molina Exch - All Other Plans | $4,774 |
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