Emergency visit, high (level 4) at Citizens Memorial Hospital. CPT 99284.
What Citizens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$209cash price (self-pay)
$1,091list price
$445–$608range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $445 |
| Allwell | Medicare Advantage | $445 |
| Cox Health Network | Medicare Advantage | $445 |
| Essence | Medicare Advantage | $445 |
| Humana | Medicare Advantage | $445 |
| United Healthcare | Medicare Advantage | $445 |
| Anthem | Medicare Advantage | $450 |
| Wellcare | Medicare Advantage | $459 |
| Providers Partner Health Plan | Medicare Advantage | $468 |
| Ambetter | Exchange | $608 |
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