Emergency visit, high (level 4) at Tufts Medical Center. CPT 99284.
What Tufts Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,260cash price (self-pay)
$1,800list price
$431–$1,972range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc HMO POS Tmc | $431 |
| Health Plans Inc [100262] | Hb Xr Hphc HMO POS Tmc | $431 |
| Harvard Pilgrim Healthcare [100241] | Hb Xr Hphc PPO Tmc | $474 |
| Tufts Health Public Plan Connectorcare [100264] | Hb Xr Thpp Connector | $612 |
| American Postal Workers [100089] | Hb Xr Non-Contracted 35% Of Billed | $630 |
| Carecentrix Alternate [100257] | Hb Xr Non-Contracted 35% Of Billed Ch | $630 |
| Allied National Global Care [100107] | Hb Xr Non-Contracted 35% Of Bil | $630 |
| First Health [100278] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $630 |
| Allied Benefit Systems [100015] | Hb Xr Non-Contracted 35% Of Billed C | $630 |
| Assurant [100020] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $630 |
| Amerihealth Caritas Nh [350007] | Hb Xr Non-Contracted 35% Of Billed C | $630 |
| Avmed Health Plan [100247] | Hb Xr Non-Contracted 35% Of Billed Charge | $630 |
| Benemax [100276] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $630 |
| Group And Pension Administrators [100043] | Hb Xr Non-Contracted 35% O | $630 |
| Care One [950007] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $630 |
| Coventry [100010] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $630 |
| Compsych [100027] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $630 |
| Coresource [100285] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $630 |
| Lowell Comm Health Center [950009] | Hb Xr Non-Contracted 35% Of Bille | $630 |
| D'Youville Senior Care [950003] | Hb Xr Non-Contracted 35% Of Billed C | $630 |
| Employee Benefit Management [100033] | Hb Xr Non-Contracted 35% Of Bil | $630 |
| Generic Commercial [109999] | Hb Xr Non-Contracted 35% Of Billed Charg | $630 |
| Mutual Of Omaha [100074] | Hb Xr Non-Contracted 35% Of Billed Charges | $630 |
| Geha [100039] | Hb Xr Non-Contracted 35% Of Billed Charges Tmc | $630 |
| National Association Of Letter Carriers [100067] | Hb Xr Non-Contracte | $630 |
| Allaracare [100163] | Hb Xr Allaracare Tmc | $679 |
| Blue Cross Of MA [100274] | Hb Xr Bcbsma HMO Tmc | $762 |
| Blue Benefits Administrators [100267] | Hb Xr Bcbsma PPO Ppa Tmc | $865 |
| Blue Cross Of MA [100274] | Hb Xr Bcbsma PPO Ppa Tmc | $865 |
| Blue Cross Of Nh [100265] | Hb Xr Bcbsma PPO Ppa Tmc | $865 |
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