Emergency visit, high (level 4) at Canton-Potsdam Hospital. CPT 99284.
What Canton-Potsdam Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$787cash price (self-pay)
$1,210list price
$103–$120range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champus-Tricare | Commercial | $103 |
| Aetna | Medicare Advantage | $114 |
| United Healthcare | Medicare Advantage | $114 |
| United Healthcare | Medicare Advantage Dual | $114 |
| Cdphp | Medicare Advantage | $114 |
| Fidelis Care New York | Medicare Advantage | $116 |
| Wellcare | Medicare Advantage Dual | $116 |
| Wellcare | Medicare Advantage | $116 |
| Humana | Medicare Advantage | $120 |
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