Emergency visit, high (level 4) at Community Hospital. CPT 99284.
What Community Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,480cash price (self-pay)
$2,467list price
$146–$5,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BX ILL HMO MCNP [315] | Powers Health Partners | $146 |
| MEDICARE [100] | Medicare | $426 |
| MEDICARE REHAB [110] | Medicare | $426 |
| MEDICARE PSYCH [111] | Medicare | $426 |
| TRICARE [120] | Medicare | $426 |
| TRICARE PSYCH [121] | Medicare | $426 |
| TRICARE REHAB [122] | Medicare | $426 |
| CHAMPVA [130] | Medicare | $426 |
| VA [140] | Medicare | $426 |
| MEDICARE MANAGED CARE PLANS [152] | Medicare | $426 |
| HUMANA [390] | Humana HMO | $1,100 |
| Bx Ill HMO Mcnp [315] | Bx IL HMO | $1,229 |
| Ill Bx X [803] | Bx IL HMO | $1,229 |
| CIGNA [365] | Cigna One Health HMO | $1,303 |
| HUMANA [390] | Humana PPO | $1,400 |
| CHOICECARE [395] | Humana PPO | $1,400 |
| LUTHERAN PREFERRED NETWORK [486] | Lutheran Preferred | $1,480 |
| AETNA [360] | Aetna NBD | $1,610 |
| AETNA [360] | Aetna | $1,660 |
| BLUE CROSS [300] | Anthem Blue Cross | $1,675 |
| BLUE CROSS [300] | Anthem Blue Cross Traditional | $1,675 |
| ANTHEM CARPTENTERS [468] | Anthem Blue Cross | $1,675 |
| LOCAL 150 [471] | Anthem Blue Cross | $1,675 |
| BX ILL WITHOUT SUITCASE [606] | Anthem Blue Cross Traditional | $1,675 |
| ANTHEM X [801] | Anthem Blue Cross | $1,675 |
| Phcs [380] | Phcs | $1,776 |
| CIGNA [365] | Cigna | $1,900 |
| GREAT WEST [455] | Cigna | $1,900 |
| IHN [467] | Cigna | $1,900 |
| FIRST HEALTH [375] | Coventry Health Care | $1,974 |
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