Emergency visit, high (level 4) at UMass Memorial Health-Harrington Hospital. CPT 99284.
What UMass Memorial Health-Harrington Hospital publishes for this service, straight from its standard-charges file, last updated April 3, 2026.
Outpatient / ER
$921cash price (self-pay)
$921list price
$116–$5,775range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WELLSENSE MCAID CARELON HLTH [21] | All CARELON (FORMERLY BEACON) BH W | $116 |
| FALLON MCAID CARELON HLTH [29] | All CARELON (FORMERLY BEACON) BH FALL | $116 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM HMO HR [117] Plans | $242 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM PPO HR [118] Plans | $278 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM BETH ISRAEL LAHEY HR [29 | $290 |
| WORKERS COMPENSATION [20501] | All WORKERS COMP HR [31] Plans | $449 |
| WELLPOINT [11112] | All WELLPOINT (UNICARE) HR [60] Plans | $458 |
| MGB MCR [10124] | All MGB MCR HR [315] Plans | $500 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA HR [165] Plans | $506 |
| CIGNA MCR [10121] | All MEDICARE/ MEDICARE ADV PLANS/ INST HR [96] Pla | $506 |
| TUFTS US FAMILY [11203] | All TUFTS US FAMILY HR [310] Plans | $506 |
| INSTITUTION [10406] | All HOSPICE HR [311] Plans | $506 |
| BCBS MCR [10102] | All BC MCR HR [64] Plans | $517 |
| COMMONWEALTH CARE ALLIANCE [10103] | All ONE CARE HR [298] Plans | $525 |
| AETNA MCR [10101] | All MEDICARE ADV AT 105% HR [301] Plans | $525 |
| FALLON MCR SUPP [20202] | All FALLON SENIOR HR [139] Plans | $525 |
| TUFTS MCR [10112] | All TUFTS MCR HR [300] Plans | $525 |
| FALLON MCR [10105] | All FALLON SUMMIT ELDER CARE HR [334] Plans | $525 |
| UHC DUAL [10118] | All UHC COMMUNITY CARE SCO (EVERCARE) HR [332] Plan | $532 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH HR [128] Plans | $542 |
| UHC MCR REPLACE AARP [10114] | All UHC MCR HR [333] Plans | $542 |
| HNE [11108] | All HEALTH NEW ENGLAND HR [294] Plans | $599 |
| BCBS [10301] | All BC HMO HR [47] Plans | $605 |
| BCBS [10301] | All BC PPO HR [48] Plans | $650 |
| TUFTS [11201] | All TUFTS HMO HR [168] Plans | $655 |
| CIGNA CARELINK [11202] | All TUFTS PPO/CARELINK HR [169] Plans | $655 |
| HSNO/FREE CARE [10801] | All HSNO HR [70] Plans | $681 |
| EVERNORTH BEHAVIORAL HEALTH [27] | All EVERNORTH (FORMERLY CIGNA) BEHA | $737 |
| AETNA [11101] | All AETNA HR [12] Plans | $740 |
| UHC [11111] | All UHC HR [37] Plans | $782 |
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All common services at UMass Memorial Health-Harrington Hospital