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Emergency visit, high (level 4) at NYU Langone Hospital - Long Island. CPT 99284.

What NYU Langone Hospital - Long Island publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$474cash price (self-pay)
$3,739list price
$165–$13,453range insurers pay
Insurance planNegotiated rate
Healthfirst | HEALTHFIRST CHILD HEALTH PLUS 1080$165
Healthfirst | HEALTHFIRST MEDICAID 1084$165
Medicare | AETNA MEDICARE MANAGED CARE 1007$504
Medicare | CHAMPUS UNYSIS CORP 1041$504
Medicare | FIDELIS CARE MEDICARE 1061$504
Ghi | Ghi Medicare Supplement 1070$504
Ghi | Ghi Emblem Health Medicare HMO 1072$504
Ghi | Ghi Emblem Health Medicare PPO 1074$504
Hip | Hip Vip Medicare Prime 1099$504
Medicare | UNITED HEALTHCARE INS AARP 1152$504
Medicare | UNITED HEALTHCARE MEDICARE 1158$504
Wellcare | WELLCARE MEDICARE 1171$504
1199 | Local 1199 Nyu Member Choice 1000$757
1199 | Local 1199 PPO 1001$757
Hip | Hip HMO 1071$1,789
Hip | Hip Lich 1094$1,789
Hip | Hip Health Plan Of NY 1095$1,789
Hip | Hip HMO 1097$1,789
Hip | Hip POS 1100$1,789
Oxford | OXFORD HEALTH PLANS FREEDOM 1134$2,771
Oxford | OXFORD HEALTH PLANS LIBERTY 1135$2,771
UHC | Apwu Health Plan 1027$3,229
UHC | United Healthcare EPO 1155$3,229
UHC | United Healthcare HMO 1156$3,229
UHC | United Healthcare Inde 1157$3,229
UHC | United Healthcare POS 1159$3,229
UHC | United Healthcare PPO 1160$3,229
Aetna | AETNA HMO 1005$3,234
Aetna | AETNA STUDENT PLAN 1008$3,234
Aetna | AETNA POS 1009$3,234
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All common services at NYU Langone Hospital - Long Island