Emergency visit, high (level 4) at Valley Regional Hospital. CPT 99284.
What Valley Regional Hospital publishes for this service, straight from its standard-charges file, last updated June 6, 2026.
Outpatient / ER
$192cash price (self-pay)
$349list price
$62.35–$2,888range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plans Inc | Health Plans Inc | $117 |
| Harvard Pilgrim Healthcre | Harvard Pilgrim Healthcar | $117 |
| Vr Health Plans Inc | Health Plans Inc | $117 |
| Ambetter | Ambetter | $117 |
| Medicare HMO | Cigna Medicare Advantage | $117 |
| Medicare HMO | Humana Medicare | $117 |
| Medicare HMO | United Healthcare Medicar | $117 |
| Medicare HMO | Aetna Medicare Adv | $117 |
| Railroad Medicare | Railroad Medicare | $117 |
| Medicare HMO | Other Medicare HMO | $117 |
| Medicare HMO | Tufts Health Medicare HMO | $117 |
| Medicare HMO | Generations Advantage | $117 |
| Humana Claims Center | Humana Claims Center | $117 |
| Medicare HMO | Harvard Pilgrim Medicare | $117 |
| Va Ccn Optum | Va Ccn Optum | $117 |
| Tricare East | Tricare East | $117 |
| Us Family Health Plan | Us Family Health Plan | $117 |
| Medicare | Medicare | $117 |
| Champva | Champva | $117 |
| Other Insurances | Other Managed Care | $117 |
| Triwest | Triwest | $117 |
| Well Sense Health Plan | Well Sense Health Plan | $122 |
| Nh Medicaid | Nh Medicaid | $125 |
| Nh Medicaid | Nh Medicaid Disability | $125 |
| Amerihealth Caritas Nh | Amerihealth Caritas Nh | $128 |
| Medicare HMO | Wellcare Medicare | $165 |
| Self Pay Discount | Self Pay Discount | $192 |
| Nh Blue Cross | Nh BCBS PPO | $292 |
| BCBS Federal | BCBS Federal | $292 |
| United Healthcare | United Healthcare | $301 |
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