Emergency visit, high (level 4) at Centrastate Medical Center. CPT 99284.
What Centrastate Medical Center publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$542cash price (self-pay)
$4,243list price
$140–$3,862range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Pending [5302] | Csmc Self Pay | $471 |
| Wellcare Medicare By Allwell [5506] | Csmc Wellcare Phw | $471 |
| Highmark Wholecare Health Plan Ip Splits [5464] | Csmc Highmark Wholec | $471 |
| Aetna Assure Premier Plus Ip Splits [5466] | Csmc Aetna Medicare | $471 |
| Untd Hlth Medicare Behavioral [5409] | Csmc United Medicare | $471 |
| Anthem Medicare Pffs [5052] | Csmc Horizon Braven | $471 |
| Highmark Wholecare Health Plan [5413] | Csmc Highmark Wholecare / Gate | $471 |
| Claim Watcher/Homestead [5488] | Csmc Claim Watcher Tier 1 | $471 |
| Cs Nutrition Consult-Initial And Follow Up [5493] | Csmc Self Pay | $471 |
| Sedgwick Wtc Health Program Wc [5514] | Csmc Prime Health Services | $471 |
| Wellcare Behavioral Health [5335] | Csmc Wellcare/Fedelis Medicare | $471 |
| Tricare [5251] | Csmc Tricare Active Duty/East Region | $471 |
| Wellcare Health Plans [5269] | Csmc Wellcare/Fedelis Medicare | $471 |
| Anthem Medicare Pffs Ip Splits [5474] | Csmc Horizon Braven | $471 |
| Cs Sports Performance Eval And Visits [5494] | Csmc Self Pay | $471 |
| Horizon BCBS Out Of State Medicare Ip Splits [5461] | Csmc Horizon Bra | $471 |
| Amerihealth Caritas Vip Care Ip Splits [5460] | Csmc Amerihealth Carit | $471 |
| Aetna Medicare Ip Splits [5470] | Csmc Aetna Medicare | $471 |
| Cs Pulmonary Rehab Cash Pay [5496] | Csmc Self Pay | $471 |
| Horizon Nj Health [5021] | Csmc Horizon Nj Health | $894 |
| Liberty Mutual No Fault [5173] | Csmc Horizon Casualty Pip | $1,100 |
| Selective Ins Workers Comp [5237] | Csmc Horizon Casualty Wc | $1,100 |
| Zurich Workers Comp [5275] | Csmc Horizon Casualty Wc | $1,100 |
| Amerihealth Northeast [5011] | Csmc Amerihealth Local Value Network | $1,209 |
| Amerihealth [5008] | Csmc Amerihealth Regional Preferred Network | $1,487 |
| Cigna Local Plus [5340] | Csmc Cigna Local Plus | $1,575 |
| 1199 Seiu Benefit And Pension [5037] | Csmc Aetna | $1,809 |
| Continental Assurance [5091] | Csmc Aetna | $1,809 |
| Allied Benefit Systems [5046] | Csmc Aetna | $1,809 |
| Nippon Benefit Life [5201] | Csmc Aetna | $1,809 |
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