Emergency visit, high (level 4) at Holyoke Medical Center. CPT 99284.
What Holyoke Medical Center publishes for this service, straight from its standard-charges file, last updated May 1, 2026.
Outpatient / ER
$900cash price (self-pay)
$900list price
$225–$1,500range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bmchp | Bmchp Masshealth Aco | $225 |
| Fallon | Fallon Masshealth Aco | $225 |
| Health New England | Health New England Be Healthy | $225 |
| Medicaid | Medicaid | $225 |
| Wellsense Direct Metals Silver | Wellsense Direct Metals Silver | $282 |
| Gic Unicare | Gic Unicare | $353 |
| Tufts Health Public Plans | Tufts Health Public Plans Connector | $355 |
| Tufts Health Public Plans | Tufts Health Public Plans Masshealth Aco | $355 |
| United Healthcare | Uhc Harvard Pilgrim | $383 |
| Harvard Pilgrim | Harvard Pilgrim Commercial | $389 |
| Aetna | Aetna Medicare Advantage | $492 |
| Blue Cross Blue Shield | Blue Cross Blue Shield Medicare Advantage | $492 |
| Health New England | Health New England Medicare Advantage | $492 |
| Medicare | Medicare | $492 |
| United Healthcare | Uhc Medicare Advantage | $492 |
| Mass General Brigham Commercial | Mass General Brigham Commercial | $495 |
| Tufts Health Plan | Tufts Health Plan Usfhp | $500 |
| Commonwealth Care Alliance | Commonwealth Care Alliance Medicare Advan | $517 |
| Commonwealth Care Alliance | Commonwealth Care Alliance One Care | $517 |
| Commonwealth Care Alliance | Commonwealth Care Alliance Sco | $517 |
| United Healthcare | Uhc Evercare (Sco) | $517 |
| Wellsense Sco | Wellsense Sco | $522 |
| Fallon | Fallon Sco (Navicare) | $527 |
| Fallon | Fallon Medicare Advantage | $541 |
| Senior Whole Health | Senior Whole Health | $566 |
| Tufts Health Public Plans | Tufts Health Public Plans Direct Metals | $590 |
| Blue Cross Blue Shield | Blue Cross Blue Shield Indemnity | $634 |
| Blue Cross Blue Shield | Blue Cross Blue Shield Ppo | $634 |
| Cigna | Cigna Commercial | $640 |
| Fallon | Fallon Commercial | $666 |
Inpatient
$900cash price (self-pay)
$900list price
$630–$666range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna Behavioral Health | Evernorth Bh | $630 |
| Magellan | Magellan Mass | $630 |
| Magellan | Magellan Swh | $630 |
| Mass General Brigham Commercial | Mass General Brigham Commercial | $639 |
| Cigna | Cigna Commercial | $662 |
| Fallon | Fallon Commercial | $666 |
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