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Emergency visit, high (level 4) at Cape Cod Hospital. CPT 99284.

What Cape Cod Hospital publishes for this service, straight from its standard-charges file, last updated February 21, 2026.

Outpatient / ER

$687cash price (self-pay)
$1,617list price
$426–$1,304range insurers pay
Insurance planNegotiated rate
Commonwealth Care Alliance | Commercial UMR$498
Tufts Health | Medicare Preferred$498
United Healthcare of New England | Veterans$498
Wellsense | Senior Care Options$503
Tufts Health | Senior Care Option$505
Blue Cross Blue Shield | Medicare Advantage HMO/PPO$535
Longevity Health Plan of MA | Medicare Advantage$547
Fallon Community Health | Fallon Medicare Plus$637
Fallon Community Health | NaviCare$657
Harvard Pilgrim/Health Plans | Commercial$763
Blue Cross Blue Shield | HMO$810
Blue Cross Blue Shield | Indemnity$810
Tufts Health | Direct Connector Plans$870
Blue Cross Blue Shield | PPO, Out of State, Federal$936
Innovative Claim Doc | Commercial$1,204
Unicare | Commercial$1,304
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All common services at Cape Cod Hospital