Emergency visit, high (level 4) at Penn Medicine Princeton Health. CPT 99284.
What Penn Medicine Princeton Health publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$4,972cash price (self-pay)
$4,972list price
$106–$4,972range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan | Magellan | $106 |
| Medicaid NJ | Medicaid NJ | $458 |
| Managed Medicaid NJ Other | Managed Medicaid NJ Other | $458 |
| TriCare | TriCare | $469 |
| Wellcare | Wellcare | $504 |
| Princeton Theological Seminary | Princeton Theological Seminary | $538 |
| US Family Health Plan | US Family Health Plan | $540 |
| Horizon NJ Health | Horizon NJ Health | $562 |
| Horizon Blue Cross of NJ | Horizon Blue Cross of NJ-Medicare HMO | $569 |
| LIFE St. Francis | LIFE St Francis | $640 |
| Qualcare | Qualcare | $645 |
| United Healthcare | UnitedHealthcare Compass Exchange | $808 |
| Horizon Blue Cross of NJ-Exchange | Horizon Blue Cross of NJ-Exchange | $1,009 |
| Horizon Blue Cross of NJ | Horizon Blue Cross of NJ-HMO POS and Direct | $1,165 |
| Preferred Health Care Eliance | Preferred Health Care Eliance | $1,293 |
| United Healthcare | UnitedHealthcare | $1,452 |
| United Healthcare | Oxford | $1,452 |
| Horizon Blue Cross of NJ | Horizon Casuality Workers Compensation | $1,460 |
| Horizon Behavioral Health | Horizon Behavioral Health | $1,864 |
| Horizon Blue Cross of NJ | Horizon Blue Cross of NJ-PPO | $2,110 |
| Horizon Blue Cross of NJ | Horizon Blue Cross of NJ-Indemnity | $2,110 |
| MagnaCare | MagnaCare | $2,635 |
| Horizon Blue Cross of NJ | Horizon Casuality PIP | $2,889 |
| MagnaCare | MagnaCare Workers Compensation | $3,480 |
| Health Net | Health Net HMO | $3,480 |
| Penn Global Medicine Embassy Only | Penn Global Medicine Embassy Only | $3,978 |
| Intergroup | Intergroup | $3,978 |
| Intergrated Health Plan | Intergrated Health Plan | $3,978 |
| Tri-State | Tri-State | $4,226 |
| Total Care Network | Total Care Network | $4,226 |
Inpatient
$4,972cash price (self-pay)
$4,972list price
$1,293–$4,972range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Preferred Health Care Eliance | Preferred Health Care Eliance | $1,293 |
| Beacon Health Options | Beacon Health Options | $2,486 |
| Aetna Rental Network | Aetna Rental Network | $3,456 |
| MagnaCare | MagnaCare Workers Compensation | $3,480 |
| Horizon Blue Cross of NJ | Horizon Casuality PIP | $3,740 |
| Penn Global Medicine Embassy Only | Penn Global Medicine Embassy Only | $3,978 |
| Intergroup | Intergroup | $3,978 |
| Intergrated Health Plan | Intergrated Health Plan | $3,978 |
| Beech Street | Beech Street | $3,978 |
| Aetna Indemnity | Aetna Indemnity | $4,142 |
| Personnel Health Program | Personnel Health Program | $4,972 |
| International PFS | International PFS | $4,972 |
| Commercial Other | Commercial Other | $4,972 |
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