Emergency visit, high (level 4) at Highland Hospital Of Rochester. CPT 99284.
What Highland Hospital Of Rochester publishes for this service, straight from its standard-charges file, last updated July 1, 2026.
Outpatient / ER
$495cash price (self-pay)
$2,061list price
$357–$2,901range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus [2201] | Excellus Child Health Plus [220108] | $372 |
| Excellus [2201] | Excellus Essential (No Medicaid) [220109] | $372 |
| Excellus Medicaid [1706] | Excellus Essential (W/ Medicaid) [170604] | $372 |
| Medicare Blue Choice [1306] | Medicare Blue Choice [130601] | $425 |
| Martins Point [1205] | Us Family Plan At Martin'S Point [120501] | $504 |
| Bc/Bs Of Western NY Medicare [1301] | Highmark Bc/Bs Medicare [130101] | $504 |
| Fidelis Medicare [1311] | Fidelis Wellcare Medicare [131101] | $504 |
| Highmark Blue Cross Blue Shield Medicare [1301] | Highmark BCBS Medica | $521 |
| Fidelis Medicare [1311] | Fidelis Medicare [131101] | $521 |
| Cdphp Medicare [1320] | Cdphp Medicare [132001] | $535 |
| Cdphp Medicare [1320] | Capital District Physicians Medicare [132001] | $544 |
| United Healthcare Medicare [1309] | United Healthcare Medicare [130901 | $554 |
| Humana Medicare [1312] | Humana Medicare [131201] | $645 |
| Aetna Medicare [1300] | Aetna Medicare [130001] | $655 |
| Excellus Blue Cross Blue Shield [2201], Out Area Blue Cross Blue Shiel | $663 |
| Mvp Medicare [1307] | Mvp Medicare [130701] | $698 |
| Excellus Blue Cross Blue Shield [2201] | Excellus High Performance [22 | $735 |
| Mvp [2900] | Mvp Health Care [290001], Mvp Premier Group [290003] | $833 |
| Mvp [2900] | Mvp Commercial PPO Fully Insured [290006] | $885 |
| Molina Healthcare [5189], Molina Healthcare [1723] | Molina Essential | $951 |
| Mvp [2900] | Mvp Premier Individual [290002] | $1,032 |
| Mvp [2900] | Mvp Child Health Plus [290004] | $1,370 |
| Mvp Medicaid [1712] | Mvp Option Medicaid [171201] | $1,370 |
| Mvp [2900] | Mvp Commercial Non PPO Fully Insured [290001] | $1,421 |
| Mvp [2900] | Mvp Premier Group [290003] | $1,421 |
| Cigna [5144] | Cigna Healthcare (Pob 182223) [514405] | $1,573 |
| United Healthcare Medicaid [1716] | United Healthcare Medicaid [171601 | $1,578 |
| Amerigroup (Bswny Alternate) [1720] | Amerigroup (Bswny Alternate) [17 | $1,578 |
| Mvp [2900] | Mvp Essential (No Medicaid) [290005] | $1,646 |
| Excellus Medicaid [1706] | Blue Choice Option Medicaid [170601] | $2,901 |
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