Emergency visit, high (level 4) at MaineHealth - Memorial Hospital. CPT 99284.
What MaineHealth - Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$276cash price (self-pay)
$612list price
$119–$1,442range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $119 |
| Aetna | Medicare Advantage | $229 |
| Humana | Medicare Advantage | $229 |
| United Healthcare | Medicare Advantage | $229 |
| Anthem | Medicare Advantage | $235 |
| Aetna | MHACO Commercial | $236 |
| Wellcare | Medicare Advantage | $236 |
| Cigna | Commercial | $468 |
| Aetna | HMO/PPO | $491 |
| Community Health Options | Commercial | $501 |
| Harvard Pilgrim Healthcare | Maine's Choice | $513 |
| Harvard Pilgrim Healthcare | Commercial | $557 |
| Multiplan | Commercial | $559 |
| United Healthcare | Commercial | $565 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $828 |
Inpatient
$949cash price (self-pay)
$949list price
$757–$892range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | HMO/POS/PPO Pathway Enhanced | $757 |
| Community Health Options | Commercial | $759 |
| Harvard Pilgrim Healthcare | Maine's Choice | $795 |
| Cigna | Commercial | $799 |
| Aetna | HMO/PPO | $821 |
| Harvard Pilgrim Healthcare | Commercial | $883 |
| Multiplan | Commercial | $892 |
| United Healthcare | Commercial | $892 |
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