Emergency visit, high (level 4) at Pen Bay Medical Center. CPT 99284.
What Pen Bay Medical Center publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$583cash price (self-pay)
$754list price
$115–$2,001range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $119 |
| Aetna | MHACO Commercial | $236 |
| Humana | Medicare Advantage | $412 |
| United Healthcare | Medicare Advantage | $412 |
| Anthem | Medicare Advantage | $416 |
| Aetna | Medicare Advantage | $420 |
| Wellcare | Medicare Advantage | $424 |
| Cigna | Commercial | $595 |
| Community Health Options | Commercial | $598 |
| Harvard Pilgrim Healthcare | Maines Choice | $613 |
| Harvard Pilgrim Healthcare | Commercial | $642 |
| Aetna | HMO/PPO | $662 |
| United Healthcare | Commercial | $703 |
| Multiplan | Commercial | $709 |
| Anthem | HMO/POS/PPO/Pathway Enhanced | $2,001 |
Inpatient
$754cash price (self-pay)
$1,255list price
$595–$1,649range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $990 |
| Community Health Options | Commercial | $994 |
| Harvard Pilgrim Healthcare | Maines Choice | $1,019 |
| Harvard Pilgrim Healthcare | Commercial | $1,068 |
| Aetna | HMO/PPO | $1,100 |
| United Healthcare | Commercial | $1,168 |
| Multiplan | Commercial | $1,179 |
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