Emergency visit, high (level 4) at Buffalo Hospital. CPT 99284.
What Buffalo Hospital publishes for this service, straight from its standard-charges file, last updated June 16, 2026.
Outpatient / ER
$737cash price (self-pay)
$1,316list price
$265–$3,686range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $265 |
| Blue Cross Blue Shield | BC PMAP (B D O S V) | $305 |
| All Other Medicaid | All Other Medicaid (B) | $398 |
| Medicaid | Medicaid MA (B) | $398 |
| Allina Aetna Medicare (B) | Allina Aetna Medicare (B) | $409 |
| South Country Health Alliance | SCHA PMAP (B) | $409 |
| Medicare Other | All Other Medicare (B) | $430 |
| Medicare | Medicare (B) | $430 |
| Medica | Medica Medicare (B) | $447 |
| BCBS | BC Medicare (B) | $452 |
| Aetna | Aetna Elevate (BDOSV) | $586 |
| Aetna | Aetna Performance (BDOSV) | $619 |
| Aetna Direct/Indirect Regional Network | Aetna Direct/Indirect Regiona | $782 |
| Blue Cross | Allina Health BluePrint (BDOSHV) | $833 |
| Blue Cross Blue Shield | BC State Health Plan (B D O S V) | $846 |
| Medica Health System | Medica Dual Solutions (B D V O S) | $848 |
| Medica Ub Health (B) | Medica Ub Health (B) | $873 |
| HealthPartners | HPI (BDOV) | $891 |
| Blue Cross Blue Shield of Minnesota | BC Premier (B D O S V) | $942 |
| Health Partners | HPI Cigna (BDOV) | $971 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $1,015 |
| Health Partners | HPI CIGNA (MU) | $1,066 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $1,105 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,105 |
| Blue Cross Blue Shield | BC AEHP (B D O S V) | $1,108 |
| Blue Cross Blue Shield of Minnesota | BC High Value/Performance Networ | $1,190 |
| Blue Cross Blue Shield | BC AWARE/Blue Plus (B D O S V) | $1,252 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $1,316 |
| Medica Health System | Medica Elect (B D O S V) | $1,777 |
| Medica | Medica Essentials (B D O S V) | $1,856 |
Inpatient
$737cash price (self-pay)
$1,316list price
$585–$1,316range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Elevate (BDOSV) | $585 |
| Aetna | Aetna Performance (BDOSV) | $618 |
| Aetna Direct/Indirect Regional Network | Aetna Direct/Indirect Regiona | $780 |
| Americas PPO (Araz)(B D N O R S V) | Americas PPO (Araz)(B D N O R S V | $1,015 |
| Americas PPO (Araz) (B D N H O R S) | Americas PPO (Araz) (B D N H O R | $1,105 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,105 |
| All Other Contracted Care (A B C D E G H N O R S U) | All Other Contra | $1,316 |
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