Emergency visit, high (level 4) at Lewis County General Hospital. CPT 99284.
What Lewis County General Hospital publishes for this service, straight from its standard-charges file, last updated June 1, 2026.
Outpatient / ER
$274cash price (self-pay)
$692list price
$121–$1,329range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicaid | $121 |
| EXCELLUS | Medicaid | $121 |
| FIDELIS | Medicaid | $121 |
| MVP | Medicaid | $121 |
| United Healthcare | Medicaid | $121 |
| Mvp | Commercial | $123 |
| Aetna | Medicare | $173 |
| Cdphp | Medicare | $173 |
| Excellus | Medicare | $173 |
| Fidelis | Medicare | $173 |
| Humana | Medicare | $173 |
| Tricare | Commercial | $173 |
| Martins Point | Commercial | $173 |
| Mvp | Medicare | $173 |
| United Healthcare | Medicare | $173 |
| Wellcare | Medicare | $173 |
| Ghi/Emblem Health | Commercial | $225 |
| Aetna | Commercial | $303 |
| Excellus | Commercial | $432 |
| Empire | Commercial | $432 |
| Cdphp | Commercial | $450 |
| United HealthCare | COMMERCIAL | $519 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.