Emergency visit, high (level 4) at UMass Memorial Medical Center University Campus. CPT 99284.
What UMass Memorial Medical Center University Campus publishes for this service, straight from its standard-charges file, last updated March 26, 2026.
Outpatient / ER
$3,502cash price (self-pay)
$3,502list price
$458–$3,502range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MEDICARE [20206] | All MEDICARE/ MEDICARE ADV PLANS/ INST UM [67] Plan | $500 |
| INSTITUTION [10406] | All HOSPICE UM [288] Plans | $500 |
| INSTITUTION [10406] | All HOSPICE GENERIC [237] Plans | $500 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE FORT DEVENS UM [161] | $500 |
| TUFTS DUAL [10111] | All TUFTS UNIFY UM [230] Plans | $500 |
| TUFTS US FAMILY [11203] | All TUFTS US FAMILY UM [290] Plans | $500 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE STATE UM [94] Plans | $500 |
| MEDICAID [20301] | All MEDICAID OF CT [28] Plans | $500 |
| BCBS MCR SUPP [20201] | All BC MCR UM [63] Plans | $517 |
| COMMONWEALTH CARE MCR [10115] | All ONE CARE UM [144] Plans | $525 |
| HARVARD PILGRIM MCR SUPP [20203] | All HARVARD PILGRIM MCR UM [140] Pl | $525 |
| ETERNALHEALTH MCR REPLACE [10116] | All MEDICARE ADV AT 105% UM [136] | $525 |
| UHC DUAL [10118] | All UHC COMMUNITY CARE SCO (EVERCARE) UM [228] Plan | $525 |
| SENIOR WHOLE HEALTH [10110] | All SENIOR WHOLE HEALTH UM [132] Plans | $535 |
| CHAMPVA [11001] | All TRICARE / CHAMPVA UM [164] Plans | $542 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM HMO UM [113] Plans | $700 |
| BCBS [10301] | All BC HMO UM [11] Plans | $765 |
| HARVARD PILGRIM [10701] | All HARVARD PILGRIM BETH ISRAEL LAHEY UM [26 | $840 |
| BCBS [10301] | All BC PPO UM [44] Plans | $853 |
| UHC MEDICAID [11130] | All UHC RHODY PARTNERS [271] Plans | $1,187 |
| HNE [11108] | All HEALTH NEW ENGLAND UM [82] Plans | $1,579 |
| UHC [11111] | All UHC SUREST UM [322] Plans | $1,690 |
| TUFTS [11201] | All TUFTS PPO/CARELINK UM [176] Plans | $1,721 |
| MEDICAID [20301] | All MEDICAID OF MAINE [283] Plans | $1,821 |
| INSTITUTION [10406] | All FAIRLAWN REHAB [281] Plans | $1,856 |
| AETNA [11101] | All AETNA UM [92] Plans | $2,283 |
| CORRECTIONAL CARE [11003] | All CORRECTIONAL CARE COUNTY UM [160] Plan | $2,417 |
| FIRST HEALTH NETWORK [11120] | All COVENTRY (FIRST HEALTH) [83] Plans | $2,627 |
| EVERNORTH BEHAVIORAL HEALTH [27] | All EVERNORTH (FORMERLY CIGNA) BEHA | $2,802 |
| CIGNA HEALTH PLAN [11104] | All CIGNA UM [78] Plans | $2,947 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at UMass Memorial Medical Center University Campus