Emergency visit, high (level 4) at Gordon Memorial Hospital District. CPT 99284.
What Gordon Memorial Hospital District publishes for this service, straight from its standard-charges file.
Outpatient / ER
$265cash price (self-pay)
$951list price
$110–$1,283range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | Commercial | $205 |
| United Healthcare | Medicare Advantage | $648 |
| Medica | Commercial | $894 |
| United Healthcare | Commercial | $894 |
| Blue Cross Blue Shield | Commercial | $904 |
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