Emergency visit, high (level 4) at Columbia Memorial Health. CPT 99284.
What Columbia Memorial Health publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$215cash price (self-pay)
$429list price
$6.57–$1,483range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Access_NONFAC | $97.09 |
| Blue Cross | HMO_NONFAC | $103 |
| Blue Cross | HMO_FAC | $103 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_Ancillary Providers_FA | $106 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_Ancillary Providers_NO | $106 |
| Blue Cross | Pathway Enhanced_FAC | $107 |
| Blue Cross | Pathway Enhanced_NONFAC | $107 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_MD_NONFAC | $125 |
| Aetna | Medicare_FAC | $129 |
| Aetna | Medicare_NONFAC | $129 |
| Blue Cross | EssentialNonAliessa_MD_NONFAC | $138 |
| Aetna | All Products_NONFAC | $151 |
| Aetna | All Products_FAC | $151 |
| BCBS_Empire HealthChoice | Medicare Advantage | $158 |
| MVP | Medicare Advantage | $158 |
| Emblem | Medicare Advantage | $176 |
| Fidelis | Medicaid Managed Care | $182 |
| Nascentia Health Options | Homecare Options | $228 |
| CDPHP | Medicare Advantage | $504 |
| Fidelis | Medicare Advantage | $504 |
| Aetna Government Program | Medicare Advantage | $519 |
| Fidelis | Health Benefit Exchange | $529 |
| Hamaspik | Medicare Advantage | $685 |
| Blue Shield | Medicare | $732 |
| MagnaCare | All Products | $759 |
| BCBS_Empire HealthChoice | Individual Plan | $857 |
| Multiplan | PPO | $887 |
| Herrington Diversified PDH | Commercial_All Products | $1,077 |
| BCBS_Empire HealthChoice | Blue Access Small Group | $1,121 |
| MVP Commercial | Small_Large Group_CIGNA | $1,180 |
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