Emergency visit, high (level 4) at Montefiore Medical Center. CPT 99284.
What Montefiore Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$455cash price (self-pay)
$695list price
$45.02–$37,257range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthFirst | Essential Plan 3 & 4 | $143 |
| Wellcare | CHP | $250 |
| Aetna | Medicare | $325 |
| MetroPlus | Default Duals | $328 |
| MetroPlus | Medicaid Advantage Plus | $328 |
| MetroPlus | Medicare | $328 |
| Oscar | Medicare | $328 |
| Humana | Medicare | $355 |
| MetroPlus | Exchange Products | $426 |
| SEIU1199 | Local 1199 | $467 |
| Emblem | Medicare | $521 |
| Anthem | Medicare | $521 |
| HealthFirst | MedicareNonEnrollees | $521 |
| UHC | Medicare | $521 |
| VillageCareMAX | Medicare | $521 |
| VNSNY Choice | Medicare | $521 |
| Point Comfort | Indemnity | $521 |
| Wellcare | Medicare | $531 |
| Centerlight | Medicare | $536 |
| Centerlight | PACE | $536 |
| Agewell | Medicare | $547 |
| Hamaspik | Medicare | $563 |
| Longevity | Medicare Advantage SNP Plan | $568 |
| CentersPlan | Medicare Advan I SNP | $573 |
| Emblem | Select Care | $625 |
| Molina Healthcare of NY Affinity | Essential Plan 200-250 | $719 |
| Molina Healthcare of NY Affinity | Essential Plan 1 & 2 | $719 |
| Oscar | Commercial | $830 |
| Anthem | WPH Employees | $1,592 |
| Northwell | Northwell | $1,609 |
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