Emergency visit, high (level 4) at Mount Sinai Hospital. CPT 99284.
What Mount Sinai Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$190cash price (self-pay)
$2,044list price
$109–$4,619range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cenpatico Illinicare Mcr - All Other Plans | Cenpatico Illinicare Mcr | $360 |
| Oscar - All Plans | Oscar - All Plans | $390 |
| Lawndale Christian - All Plans | Lawndale Christian - All Plans | $443 |
| Partners In Hlth - All Plans | Partners In Hlth - All Plans | $463 |
| BCBS Blue Choice | BCBS Blue Choice | $518 |
| BCBS HMO | BCBS HMO | $588 |
| BCBS PPO - All Other Plans | BCBS PPO - All Other Plans | $651 |
| Compsych Ip/Op Only - All Plans | Compsych Ip/Op Only - All Plans | $695 |
| Healthlink HMO | Healthlink HMO | $753 |
| Hfn Platinum | Hfn Platinum | $753 |
| Multiplan Primary Ntwrk/Phcs - All Other Plans | Multiplan Primary Ntw | $811 |
| Healthlink PPO - All Other Plans | Healthlink PPO - All Other Plans | $811 |
| Hfn EPO | Hfn EPO | $926 |
| Multiplan Complementary Ntwrk | Multiplan Complementary Ntwrk | $926 |
| Hfn PPO - All Other Plans | Hfn PPO - All Other Plans | $1,019 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,114 |
| Va Healthnet - All Plans | Va Healthnet - All Plans | $1,123 |
| Tricare - All Plans | Tricare - All Plans | $1,123 |
| Cigna Comm Ip/Op Only - All Other Plans | Cigna Comm Ip/Op Only - All | $1,151 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $1,158 |
| Meridian/Harmony D-Snp - All Plans | Meridian/Harmony D-Snp - All Plan | $1,158 |
| Nextlevel Hlth Icp Fhp Aca - All Plans | Nextlevel Hlth Icp Fhp Aca - | $1,158 |
| Advocate Physician Prtnrs Mcr | Advocate Physician Prtnrs Mcr | $1,158 |
| BCBS Mcr Adv HMO/PPO | BCBS Mcr Adv HMO/PPO | $1,158 |
| Cenpatico Illinicare Dual | Cenpatico Illinicare Dual | $1,158 |
| Zing Mcr Adv - All Plans | Zing Mcr Adv - All Plans | $1,204 |
| Centene/Celtic - All Plans | Centene/Celtic - All Plans | $1,216 |
| Molina Mcr - All Other Plans | Molina Mcr - All Other Plans | $1,216 |
| Advocate Physician Prtnrs - All Other Plans | Advocate Physician Prtnr | $1,274 |
| Ambetter Comm/Exch - All Plans | Ambetter Comm/Exch - All Plans | $1,343 |
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