Emergency visit, high (level 4) at O'Connor Hospital. CPT 99284.
What O'Connor Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$58.28cash price (self-pay)
$615list price
$124–$925range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Excellus HMO Blue Option Managed Medicaid | $191 |
| BCBS | Anthem Medicare Advantage | $209 |
| Emblem | Medicare Advantage | $209 |
| United Healthcare | Madicare Advantage | $209 |
| Cdphp | Medicare Advantage | $216 |
| Mvp | Medicare Advantage | $216 |
| BCBS | Excellus Blue Medicare Advantage | $220 |
| Aetna | Medicare Advantage | $224 |
| Fidelis | Medicare Advantage | $224 |
| Humana | Medicare Advantage | $226 |
| BCBS | Excellus | $353 |
| BCBS | Excellus Blue | $431 |
| BCBS | Highmark | $431 |
| BCBS | Empire Exchange | $492 |
| BCBS | Empire Managed Medicaid | $492 |
| Aetna | Signature | $523 |
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