Emergency visit, high (level 4) at Montefiore Mount Vernon Hospital. CPT 99284.
What Montefiore Mount Vernon Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,299cash price (self-pay)
$1,998list price
$124–$9,010range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthFirst | Essential Plan 3 & 4 | $165 |
| MetroPlus | Default Duals | $326 |
| MetroPlus | Medicaid Advantage Plus | $326 |
| MetroPlus | Medicare Advantage | $326 |
| Emblem | Medicare | $521 |
| Fidelis | Medicare | $521 |
| HealthFirst | IB Dual Connection HMO D-SNP | $521 |
| HealthFirst | Medicare PPO | $521 |
| Point Comfort | Indemnity | $521 |
| UHC | Medicare | $521 |
| VillageCareMAX | Medicare | $521 |
| VNSNY Choice | Medicare | $521 |
| Anthem Healthplus | Medicare | $521 |
| Wellcare | Medicare | $531 |
| Elderplan | Medicare | $536 |
| Centerlight | PACE | $536 |
| Partners Health Plan | FIDA IDD | $547 |
| Longevity | Medicare Advantage SNP Plan | $568 |
| Humana | Humana | $573 |
| Centerlight | Medicare | $573 |
| Emblem | Select Care | $625 |
| MetroPlus | Exchange Products | $677 |
| Molina Healthcare of NY Affinity | Essential Plan 1 & 2 | $719 |
| Molina Healthcare of NY Affinity | Essential Plan 200-250 | $719 |
| Cigna | Commercial | $1,108 |
| Anthem | Connection SG | $1,279 |
| Anthem | Exchange | $1,419 |
| Oscar | Commercial | $1,562 |
| Emblem | HIP Commercial | $2,052 |
| Aetna | Commercial | $2,100 |
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