Emergency visit, high (level 4) at Maimonides Medical Center. CPT 99284.
What Maimonides Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$336cash price (self-pay)
$2,500list price
$11.89–$1,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Emblem Health - HIP | Medicaid HMO | $45.02 |
| Anthem | Medicare Advantage PPO | $53.20 |
| United Community Plan | Medicaid HMO | $55.85 |
| United Healthcare | Essential Plan 1-2 | $55.85 |
| United Healthcare | Essential Plan 3-4 | $55.85 |
| United Healthcare | Essential Plan 200-250 | $55.85 |
| Healthfirst | Medicare Advantage HMO | $105 |
| Healthfirst | Medicaid HMO | $108 |
| Healthfirst Early Start | Child Health Plus | $108 |
| Healthfirst | Essential Plan | $108 |
| Fidelis | Medicaid HMO | $121 |
| Fidelis | Child Health Plus | $121 |
| Fidelis | Essential Plan 1-2 | $128 |
| Fidelis | Essential Plan 3-4 | $128 |
| Visiting Nurse SVC of NY | Medicare Advantage HMO | $128 |
| Fidelis | Exchange Plan | $128 |
| Metroplus | Medicaid HMO | $131 |
| United Healthcare | Medicare Advantage HMO | $132 |
| Aetna | Medicare Advantage HMO | $132 |
| Aetna | Medicare Advantage PPO | $132 |
| Fidelis | Medicare Advantage HMO | $132 |
| Emblem Health - HIP VIP | Medicare Advantage HMO | $132 |
| Wellcare | Medicare Advantage HMO | $132 |
| Anthem Health Plus | Medicaid HMO | $134 |
| Anthem Health Plus | Child Health Plus | $134 |
| Anthem Health Plus | Essential Plan 1-2 | $134 |
| Molina | Medicaid HMO | $134 |
| Elderplan | Medicare Advantage HMO | $134 |
| Metroplus | Essential Plan 1-2 | $135 |
| Local 1199 | Commercial PPO | $144 |
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