Emergency visit, high (level 4) at Anna Jaques Hospital. CPT 99284.
What Anna Jaques Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,861cash price (self-pay)
$1,861list price
$93.01–$878range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Masshealth | Aco Medicaid Managed Care Plan | $95.80 |
| Unicare | Gic Wellpoint All Commercial Plans | $363 |
| Aetna | Medicare Managed Care Plan | $500 |
| Bcbs | All Commercial Plans | $623 |
| Unitedhealthcare | All Commercial Plans | $756 |
| Cigna | All Commercial Plans | $878 |
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