Emergency visit, high (level 4) at Bertrand Chaffee Hospital. CPT 99284.
What Bertrand Chaffee Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$446cash price (self-pay)
$525list price
$100–$2,850range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera Plus Med | Univera Plus Med | $100 |
| Univera Hc Child Health+ | Univera Hc Child Health+ | $100 |
| Aarp/United Healthcare | Aarp/United Healthcare | $114 |
| Cigna Medicare | Cigna | $114 |
| Mutual Of Omaha | Mutual Of Omaha | $114 |
| Lifetime Benefits | Lifetime Benefits | $114 |
| Aetna Medicare | Aetna Medicare | $114 |
| Todays Option - Amer Prog | Todays Option - Amer Prog | $114 |
| Geisinger Health Plan | Geisinger Health Plan | $114 |
| Optimum Healthcare - Mcr | Optimum Healthcare - Mcr | $114 |
| Advantra-Mcr Advantage | Advantra-Mcr Advantage | $114 |
| Centers Plan Hlty Living | Centers Plan Hlty Living | $114 |
| Humana Medicare | Humana Gold | $114 |
| Wellcare | Wellcare | $114 |
| United Hc Mcr Solutions | United Hc Mcr Solutions | $114 |
| Mvp Medicare Advantage | Mvp Medicare Advantage | $114 |
| Ctrs Plan For Hlthy Livng | Ctrs Plan For Hlthy Livng | $114 |
| Coventry Medicare Health | Coventry Medicare Health | $114 |
| Fidelis Medicare | Fidelis Medicare | $114 |
| Champva | Champva | $114 |
| Wps Tricare For Life | Wps Tricare For Life | $114 |
| Va Optum Community Care | Va Optum Community Care | $114 |
| Univera Healthcare | Univera Healthcare | $118 |
| Univera Senior Choice | Univera Senior Choice | $118 |
| Blue Cross Of Western NY | Bc Of Wny HMO | $375 |
| Private Pay | Private Pay | $446 |
| Iha Medisource | Iha Medisource | $512 |
| Commercial / Misc | Commercial / Misc | $525 |
| Aetna Ins. | Aetna Ins. | $525 |
| American Progressive Ins. | American Progressive Ins. | $525 |
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