Emergency visit, high (level 4) at Seabrook Er. CPT 99284.
What Seabrook Er publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,539cash price (self-pay)
$5,539list price
$228–$6,965range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $228 |
| Well Sense Health Plan | MCD | $453 |
| United | FreedomBenefitPlans | $1,424 |
| Maine Community Health | Individual | $1,732 |
| Maine Community Health | SmallGroup | $1,732 |
| Tufts Health Plan | HMO | $2,083 |
| Tufts Health Plan | PPO | $2,083 |
| Anthem | INDEMNITY | $2,454 |
| Anthem Maine | INDEMNITY | $2,454 |
| United | AllPayerAppendix | $2,537 |
| Maine Community Health | LargeGroup | $2,935 |
| Aetna | EPO | $3,020 |
| Aetna | HMO | $3,020 |
| Aetna | POS | $3,020 |
| Aetna | PPO | $3,020 |
| Tufts Health Plan | POS | $3,168 |
| United | OptionsPPO | $3,656 |
| MVP Health Plan | COMM | $3,877 |
| CorVel | WorkersComp | $3,988 |
| Anthem | BlueChoice | $4,246 |
| Anthem Maine | BlueChoice | $4,246 |
| EverNorth | COMM | $4,431 |
| Mutual of Omaha | COMM | $4,431 |
| Claritev (MultiPlan) | COMM | $4,487 |
| Anthem | HMO | $4,718 |
| Anthem | POS | $4,718 |
| Anthem Maine | HMO | $4,718 |
| Anthem Maine | POS | $4,718 |
| First Health | PPO | $5,040 |
| Healthcare Value Mgmt | COMM | $5,040 |
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