Emergency visit, high (level 4) at Aurelia Osborn Fox Memorial Hospital. CPT 99284.
What Aurelia Osborn Fox Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$274cash price (self-pay)
$1,015list price
$540–$1,797range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $540 |
| BCBS | Anthem Medicare Advantage | $540 |
| BCBS | Excellus Blue HMO | $540 |
| BCBS | Excellus Blue Medicare Advantage | $540 |
| BCBS | Excellus Blue PPO | $540 |
| BCBS | Excellus Exchange | $540 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $540 |
| BCBS | Excellus Utica | $540 |
| BCBS | Highmark | $540 |
| BCBS | Highmark Medicare Advantage | $540 |
| Cdphp | Medicare Advantage | $540 |
| Emblem | Medicare Advantage | $540 |
| Fidelis | Medicare Advantage | $540 |
| Fidelis | Medicare Advantage Flex | $540 |
| Humana | Medicare Advantage | $540 |
| Mvp | Medicare Advantage | $540 |
| United Healthcare | Madicare Advantage | $540 |
| BCBS | Anthem Exchange | $1,797 |
| BCBS | Empire | $1,797 |
| BCBS | Empire Exchange | $1,797 |
| BCBS | Empire Healthchoice | $1,797 |
| BCBS | Empire Managed Medicaid | $1,797 |
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