Emergency visit, high (level 4) at Melrose-Wakefield Hospital Campus. CPT 99284.
What Melrose-Wakefield Hospital Campus publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$660cash price (self-pay)
$943list price
$330–$1,559range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth Caritas Nh [350007] | Hb Xr Non-Contracted 35% Of Billed C | $330 |
| Assurant [100020] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $330 |
| Allied National Global Care [100107] | Hb Xr Non-Contracted 35% Of Bil | $330 |
| Avmed Health Plan [100247] | Hb Xr Non-Contracted 35% Of Billed Charge | $330 |
| Care One [950007] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $330 |
| Carecentrix Alternate [100257] | Hb Xr Non-Contracted 35% Of Billed Ch | $330 |
| D'Youville Senior Care [950003] | Hb Xr Non-Contracted 35% Of Billed C | $330 |
| Allied Benefit Systems [100015] | Hb Xr Non-Contracted 35% Of Billed C | $330 |
| American Postal Workers [100089] | Hb Xr Non-Contracted 35% Of Billed | $330 |
| Coresource [100285] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $330 |
| Benemax [100276] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $330 |
| Generic Commercial [109999] | Hb Xr Non-Contracted 35% Of Billed Charg | $330 |
| Eyemed [100290] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $330 |
| First Health [100278] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $330 |
| Ibew Local 103 [100272] | Hb Xr Non-Contracted 35% Of Billed Charges M | $330 |
| Compsych [100027] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $330 |
| Coventry [100010] | Hb Xr Non-Contracted 35% Of Billed Charges Mwf | $330 |
| Coverage Discovery [100306] | Hb Xr Non-Contracted 35% Of Billed Charg | $330 |
| Lowell Comm Health Center [950009] | Hb Xr Non-Contracted 35% Of Bille | $330 |
| Employee Benefit Management [100033] | Hb Xr Non-Contracted 35% Of Bil | $330 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc HMO Mwf | $372 |
| Health Plans Inc [100262] | Hb Xr Hphc HMO Mwf | $372 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc PPO Mwf | $409 |
| Health Plans Inc [100262] | Hb Xr Hphc PPO Mwf | $409 |
| Tufts Health Public Plan Connectorcare [100264] | Hb Xr Thpp Connector | $424 |
| Cigna [100009] | Hb Xr Cigna Mwh | $472 |
| Cigna [100009] | Hb Xr Evernorth | $472 |
| Health Safety Net [500011] | Hb Xr Hsn Er Bad Debt Mwf | $531 |
| Allaracare [100163] | Hb Xr Allaracare Mwh | $546 |
| Blue Cross Of MA [100274] | Hb Xr Bcbsma HMO Mwh | $549 |
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