Emergency visit, high (level 4) at Community Memorial Hospital. CPT 99284.
What Community Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$606cash price (self-pay)
$758list price
$112–$584range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B NY Upstate JK | Default | $112 |
| Blue Cross Blue Shield NY Utica Watertown MCD Rep | Default | $190 |
| Blue Cross Blue Shield NY Utica Watertown Med Adv | Default | $193 |
| Fidelis Medicare Advantage MCR Adv | Default | $193 |
| Medicare A NY JK | Default | $193 |
| Blue Cross Blue Shield of NY Utica Watertown | Default | $584 |
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