Emergency visit, high (level 4) at West Holt Memorial Hospital. CPT 99284.
What West Holt Memorial Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$282cash price (self-pay)
$639list price
$110–$879range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $143 |
| Midlands Choice | PPO | $190 |
| Ambetter | Commercial | $291 |
| DHHS | Medicaid Membership | $307 |
| Molina | Commercial | $352 |
| United Healthcare | Midlands Choice | $377 |
| BCBS | Network Blue | $511 |
| Medica | Commercial | $581 |
| Aetna | Commercial | $601 |
| BCBS | Commercial | $607 |
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