Emergency visit, high (level 4) at Lowell General Hospital. CPT 99284.
What Lowell General Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$928cash price (self-pay)
$1,325list price
$201–$2,217range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tufts Health Public Plan Connectorcare [100264] | Hb Xr Thpp Connector | $225 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc Fully Insured Risk Hm | $284 |
| Health Plans Inc [100262] | Hb Xr Hphc Fully Insured Risk HMO POS Lgh | $284 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc Fully Insured Referra | $306 |
| Health Plans Inc [100262] | Hb Xr Hphc Fully Insured Referral HMO POS | $306 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc Self Insured Risk HMO | $330 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc Self Insured Referral | $335 |
| Coresource [100285] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $580 |
| Amerihealth Caritas Nh [350007] | Hb Xr Non-Contracted 35% Of Billed C | $580 |
| Allied Benefit Systems [100015] | Hb Xr Non-Contracted 35% Of Billed C | $580 |
| Care One [950007] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $580 |
| Avmed Health Plan [100247] | Hb Xr Non-Contracted 35% Of Billed Charge | $580 |
| American Postal Workers [100089] | Hb Xr Non-Contracted 35% Of Billed | $580 |
| Carecentrix Alternate [100257] | Hb Xr Non-Contracted 35% Of Billed Ch | $580 |
| Allied National Global Care [100107] | Hb Xr Non-Contracted 35% Of Bil | $580 |
| Assurant [100020] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $580 |
| Coverage Discovery [100306] | Hb Xr Non-Contracted 35% Of Billed Charg | $580 |
| Eyemed [100290] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $580 |
| Mutual Of Omaha [100074] | Hb Xr Non-Contracted 35% Of Billed Charges | $580 |
| Compsych [100027] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $580 |
| First Health [100278] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $580 |
| D'Youville Senior Care [950003] | Hb Xr Non-Contracted 35% Of Billed C | $580 |
| Generic Commercial [109999] | Hb Xr Non-Contracted 35% Of Billed Charg | $580 |
| Geha [100039] | Hb Xr Non-Contracted 35% Of Billed Charges Lgh | $580 |
| Employee Benefit Management [100033] | Hb Xr Non-Contracted 35% Of Bil | $580 |
| Norfolk County [500013] | Hb Xr Non-Contracted 35% Of Billed Charges L | $580 |
| Blue Cross Of Nh [100265] | Hb Xr Bcbsma PPO Ppa Lgh | $754 |
| Blue Cross Of Ri [100266] | Hb Xr Bcbsma PPO Ppa Lgh | $754 |
| Blue Cross Of MA [100274] | Hb Xr Bcbsma PPO Ppa Lgh | $754 |
| Blue Benefits Administrators [100267] | Hb Xr Bcbsma PPO Ppa Lgh | $754 |
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