Emergency visit, high (level 4) at Elizabethtown Community Hospital. CPT 99284.
What Elizabethtown Community Hospital publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$806cash price (self-pay)
$806list price
$82.48–$1,119range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physicians' Health Plan | Essential Plans | $82.48 |
| Capital District Physicians' Health Plan | Managed Medicaid | $82.48 |
| United Healthcare | Managed Medicaid/Essential Plans | $84.74 |
| Fidelis Care | Child Health Plus | $96.04 |
| MVP | Essential Plans | $96.04 |
| MVP | Managed Medicaid | $96.04 |
| Empire BlueCross BlueShield | Managed Medicaid Aliessa | $113 |
| Fidelis Care | Essential Plans | $113 |
| Fidelis Care | Managed Medicaid | $113 |
| Empire BlueCross BlueShield | Essential Plans/Non-Aliessa Managed Medi | $136 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $200 |
| Humana Military | TRICARE | $256 |
| Aetna | Medicare Advantage | $287 |
| Capital District Physicians' Health Plan | Medicare Advantage | $287 |
| Empire BlueCross BlueShield | Medicare Advantage | $287 |
| Excellus BlueCross BlueShield | Medicare Advantage | $287 |
| Fidelis Care | Medicare Advantage | $287 |
| MVP | Medicare Advantage | $287 |
| United Healthcare | Medicare Advantage | $287 |
| Veterans Affairs Community Care Network | Veterans Administration | $287 |
| Martins Point | TRICARE Prime/Department of Defense | $287 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $290 |
| ChoiceCare | Medicare Advantage | $295 |
| Fidelis Care | Health Benefit Exchange Products | $308 |
| Aetna | Commercial | $339 |
| Wellpath | FCI Ray Brook | $425 |
| Empire BlueCross BlueShield | Individual Network | $460 |
| Empire BlueCross BlueShield | Blue Access | $464 |
| Empire BlueCross BlueShield | HMO/POS/EPO/PPO/IND | $488 |
| Excellus BlueCross BlueShield | Commercial | $529 |
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