Emergency visit, high (level 4) at Witham Memorial Hospital. CPT 99284.
What Witham Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$212cash price (self-pay)
$1,260list price
$48.00–$5,544range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mdwise Health In-All Plans | Mdwise Health In-All Plans | $276 |
| Anthem Mcr Adv | Anthem Mcr Adv | $276 |
| Anthem Hip | Anthem Hip | $276 |
| Caresource Mcr Adv | Caresource Mcr Adv | $282 |
| Aetna Mcr Adv | Aetna Mcr Adv | $285 |
| Caresource Indiana Marketplace-All Other Plans | Caresource Indiana MA | $494 |
| Anthem Exch | Anthem Exch | $775 |
| Anthem PPO | Anthem PPO | $851 |
| Anthem HMO | Anthem HMO | $851 |
| Aetna-All Other Plans | Aetna-All Other Plans | $864 |
| UHC-All Plans | UHC-All Plans | $920 |
| Anthem Trad-All Other Plans | Anthem Trad-All Other Plans | $960 |
| Encore-All Plans | Encore-All Plans | $1,077 |
| Sagamore-All Plans | Sagamore-All Plans | $1,095 |
| Beech Street-All Plans | Beech Street-All Plans | $1,123 |
| Phcs/Multiplan-All Plans | Phcs/Multiplan-All Plans | $1,147 |
| Anthem Medicaid | Anthem Medicaid | $1,164 |
| Humana Choice Care-All Plans | Humana Choice Care-All Plans | $1,172 |
| Mhs Comml Exch-All Plans | Mhs Comml Exch-All Plans | $2,911 |
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