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Emergency visit, high (level 4) at Cuba Memorial Hospital. CPT 99284.

What Cuba 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
$145–$251range insurers pay
Insurance planNegotiated rate
Bcbs | Highmark All Commercial Plans$145
Bcbs | Medicare Managed Care Plan$145
Univera | Medicare Managed Care Plan$156
Univera | All Commercial Plans$251
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All common services at Cuba Memorial Hospital