Emergency visit, high (level 4) at Brooks Memorial Hospital. CPT 99284.
What Brooks Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$167cash price (self-pay)
$343list price
$116–$698range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera | Medicare Managed Care Plan | $116 |
| Univera | All Commercial Plans | $118 |
| Bcbs | Bcwyn Medicare Managed Care Plan | $121 |
| Bcbs | Highmark Hmo/Pos | $149 |
| Independent Health Association | Essential Other Commercial Plan | $365 |
| Humana | Medicare Managed Care Plan | $521 |
| Independent Health Association | All Commercial Plans | $528 |
| Wellcare | Medicare Managed Care Plan | $536 |
| Emblemhealth | All Commercial Plans | $677 |
| Independent Health Association | Passport Ppo Medicare Managed Care Pl | $698 |
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