Emergency visit, high (level 4) at Waldo County General Hospital. CPT 99284.
What Waldo County General Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$358cash price (self-pay)
$918list price
$119–$2,092range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $119 |
| Aetna | MHACO Commercial | $236 |
| Anthem | Medicare Advantage | $369 |
| Aetna | Medicare Advantage | $376 |
| Humana | Medicare Advantage | $376 |
| United Healthcare | Medicare Advantage | $376 |
| Wellcare | Medicare Advantage | $391 |
| Harvard Pilgrim Healthcare | Maine's Choice | $769 |
| Aetna | HMO/PPO | $831 |
| Harvard Pilgrim Healthcare | Commercial | $855 |
| Multiplan | Commercial | $863 |
| Community Health Options | Commercial | $864 |
| United Healthcare | Commercial | $864 |
| Cigna | Commercial | $865 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $2,092 |
Inpatient
$918cash price (self-pay)
$918list price
$769–$865range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $769 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $817 |
| Aetna | HMO/PPO | $831 |
| Harvard Pilgrim Healthcare | Commercial | $855 |
| Multiplan | Commercial | $863 |
| Community Health Options | Commercial | $864 |
| United Healthcare | Commercial | $864 |
| Cigna | Commercial | $865 |
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