Emergency visit, high (level 4) at Northern Light AR Gould Hospital. CPT 99284.
What Northern Light AR Gould Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$108cash price (self-pay)
$512list price
$103–$3,100range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | MCR Advantage | $112 |
| Martin's Point | MCR Advantage | $114 |
| UHC | MCR Advantage | $114 |
| Wellcare | MCR Advantage | $114 |
| Aetna | MCR Advantage | $259 |
| Anthem | Commercial | $333 |
| Anthem | Enhanced Pathways | $333 |
| CHO | Commercial | $333 |
| Harvard | Commercial | $360 |
| Cigna | Commercial | $382 |
| Aetna | Commercial | $399 |
| UHC | Commercial | $414 |
Inpatient
$108cash price (self-pay)
$512list price
$333–$2,775range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Commercial | $333 |
| Anthem | Enhanced Pathways | $333 |
| CHO | Commercial | $333 |
| UHC | Commercial | $356 |
| Aetna | Commercial | $380 |
| Cigna | Commercial | $382 |
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