Emergency visit, high (level 4) at Catholic Medical Center. CPT 99284.
What Catholic Medical Center publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$3,051cash price (self-pay)
$3,051list price
$346–$6,102range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $346 |
| Well Sense Health Plan | MCD | $427 |
| Anthem | INDEMNITY | $1,217 |
| Maine Community Health | Individual | $1,228 |
| Maine Community Health | SmallGroup | $1,228 |
| United | AllPayerAppendix | $1,529 |
| Tufts Health Plan | HMO | $2,000 |
| Tufts Health Plan | POS | $2,000 |
| Maine Community Health | LargeGroup | $2,082 |
| Tufts Health Plan | PPO | $2,173 |
| United | OptionsPPO | $2,203 |
| Anthem | IndividualOnExchange | $3,150 |
| Anthem | Pathway | $3,295 |
| Anthem | BlueChoice | $4,236 |
| Anthem | HPN | $4,236 |
| Anthem | HMO/POS | $4,707 |
| Anthem | IndividualOffExchange | $4,707 |
| Anthem | FEP | $6,102 |
| Anthem | PPO | $6,102 |
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