Emergency visit, high (level 4) at Glens Falls Hospital. CPT 99284.
What Glens Falls Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$115cash price (self-pay)
$230list price
$6.57–$2,935range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Access_NONFAC | $90.90 |
| Blue Cross | Blue Access_FAC | $90.90 |
| Blue Cross | HMO_FAC | $96.24 |
| Aetna | Medicare_FAC | $113 |
| Aetna | Medicare_NONFAC | $113 |
| Blue Cross | Medicare_FAC | $113 |
| Blue Cross | Medicare_NONFAC | $113 |
| Blue Cross | PPO_NONFAC | $114 |
| Blue Cross | PPO_FAC | $114 |
| Aetna | All Products_FAC | $150 |
| Aetna | All Products_NONFAC | $150 |
| BCBS_Empire HealthChoice | Medicare Advantage | $158 |
| CDPHP | Medicare Advantage | $158 |
| Blue Shield | Medicare Advantage | $165 |
| Fidelis | Medicaid Managed Care | $182 |
| Aetna Government Program | Medicare Advantage | $509 |
| BCBS_Empire HealthChoice | Q-HIP CHP | $596 |
| BCBS_Empire HealthChoice | Q-HIP INDEX | $763 |
| Fidelis | Medicare Advantage | $901 |
| BCBS_Empire HealthChoice | Q-HIP HMO_EPO | $1,186 |
| BCBS_Empire HealthChoice | Q-HIP PPO | $1,186 |
| Multiplan | PPO | $1,277 |
| MagnaCare | All Products | $1,306 |
| Hamaspik | Medicare Advantage | $1,396 |
| Hamaspik | Medicaid Managed Care | $1,396 |
| Nascentia Health Options | Medicare Advantage | $1,396 |
| MVP Commercial | Individual_Student Health Plan | $1,418 |
| BCBS_Empire HealthChoice | Blue Access Small Group | $1,619 |
| Emblem | Commercial_All Products | $1,657 |
| MVP Commercial | Small_Large Group_CIGNA | $1,669 |
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