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Emergency visit, high (level 4) at Cayuga Medical Center. CPT 99284.

What Cayuga Medical Center publishes for this service, straight from its standard-charges file, last updated March 27, 2026.

Outpatient / ER

$202cash price (self-pay)
$1,008list price
$302–$2,268range insurers pay
Insurance planNegotiated rate
Molina | Managed Medicaid _HARP - CHP$302
Molina | Managed Medicaid_Essential Plan 1-4$302
Martins Point | Tricare$519
Aetna | Medicare Advantage$521
Excellus | Medicare Advantage$521
Wellcare | Medicare Advantage Today's Options$563
Aetna | Student Health Plans$753
Aetna | All Products$773
Excellus | All Products$786
MVP Cigna | All Products$839
UMR Pomco | All Products$917
Emblem Health | All Products$937
Independent Health | All Products$968
Fidelis | Managed Medicaid _ Aliessa_QHP$2,268
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All common services at Cayuga Medical Center