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Emergency visit, high (level 4) at Signature Healthcare. CPT 99284.

What Signature Healthcare publishes for this service, straight from its standard-charges file, last updated January 28, 2026.

Outpatient / ER

$1,275cash price (self-pay)
$1,821list price
$299–$1,505range insurers pay
Insurance planNegotiated rate
Harvard PIlgrim HealthCare | All Plans$299
Fallon | Medicare Plus$496
Humana | Medicare Advantage$506
Tufts Health Plan | Medicare Advantage$506
AllWays Health Partners | Medicare Advantage$516
UniCare | All Plans$559
Senior Whole Health | Medicare Advantage$617
Fallon | Navicare$619
Blue Cross Blue Shield | HMO$645
Blue Cross Blue Shield | Indemnity-PPA$645
Commonwealth Care Alliance | ICO-SCO$674
Cigna | All Plans$701
Aetna | All Plans$1,242
United Healthcare | All Plans$1,505

Inpatient

$1,275cash price (self-pay)
$1,821list price
—range insurers pay
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All common services at Signature Healthcare