Emergency visit, high (level 4) at Saint Michael's Medical Center. CPT 99284.
What Saint Michael's Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$483cash price (self-pay)
$2,099list price
$140–$2,099range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon | Horizon Nj Health - Medicaid | $140 |
| UHC (Americhoice) | UHC Medicaid | $140 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicaid | $140 |
| Tricare | Tricare | $387 |
| Amerihealth | Amerihealth HMO Medicare | $484 |
| Horizon | Horizon Medicare | $484 |
| Horizon | Horizon NJ Health Duals (FIDESNP) | $484 |
| Humana | HUMANA MILITARY TRICARE | $484 |
| New Jersey Out of State | New Jersey Out of State | $484 |
| Traditional Medicare | Traditional Medicare | $484 |
| UHC | UHC Medicare (02-01-2023 to 12-31-2026) | $484 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $484 |
| Aetna | Aetna Medicare | $484 |
| Wellcare | Wellcare Medicare | $498 |
| Clover Health | Clover Medicare | $503 |
| Curana | Curana | $508 |
| Wellcare | Wellcare Insurance Exchange | $653 |
| Employer Direct Healthcare | Employer Direct Healthcare | $677 |
| Naphcare | Naphcare Medicare | $750 |
| Cigna | Cigna Commercial | $773 |
| Fairprice Healthcare Holdings - Fphh | Fairprice Healthcare Holdings - | $774 |
| Horizon | HORIZON CASUALTY SERVICES Workers Comp | $966 |
| Coventry | Coventry Auto | $968 |
| Coventry | Coventry Workers comp | $968 |
| Horizon | Horizon BCBS Of NJ HMO POS | $990 |
| Horizon | Horizon BCBS Of NJ Indemnity | $990 |
| Horizon | Horizon BCBS Of NJ PPO | $990 |
| Horizon | HORIZON CASUALTY SERVICES Personal Injury Protection - PIP | $1,012 |
| Aetna | Aetna Commercial | $1,026 |
| Aetna | Aetna Medical Rental Network | $1,026 |
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