Emergency visit, high (level 4) at John Fitzgibbon Memorial Hospital LLC. CPT 99284.
What John Fitzgibbon Memorial Hospital LLC publishes for this service, straight from its standard-charges file, last updated February 2, 2026.
Outpatient / ER
$289cash price (self-pay)
$1,187list price
$141–$867range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Preferred Blue Risk PPO | BCBS Preferred Blue Risk PPO | $467 |
| Aetna - All Plans | Aetna - All Plans | $772 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $831 |
| BCBS Blue Leased PPO - All Other Plans | BCBS Blue Leased PPO - All Ot | $862 |
| Cigna - All Plans | Cigna - All Plans | $867 |
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All common services at John Fitzgibbon Memorial Hospital LLC