Emergency visit, high (level 4) at Calais Community Hospital. CPT 99284.
What Calais Community Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$199cash price (self-pay)
$319list price
$47.00–$632range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicare Advantage | $50.00 |
| United Healthcare | Medicare Advantage | $50.00 |
| Humana | Commercial | $134 |
| Martins Point Generation | Commercial | $134 |
| Wellcare | HMO | $134 |
| Partners Direct Health | Commercial | $185 |
| Anthem | Commercial | $262 |
| Aetna | Commercial | $274 |
| United Healthcare | PPO | $281 |
| Cigna | Commercial | $290 |
| Harvard Pilgrim | Commercial | $293 |
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