Emergency visit, high (level 4) at Saratoga Hospital. CPT 99284.
What Saratoga Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$182cash price (self-pay)
$363list price
$6.57–$2,635range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CDPHP | Medicaid_FAC | $44.07 |
| CDPHP | Medicaid_NONFAC | $82.48 |
| Blue Cross | Blue Access_NONFAC | $90.90 |
| Blue Cross | Blue Access_FAC | $90.90 |
| Blue Cross | EssentialNonAliessa_CSW_FAC | $93.22 |
| Blue Cross | EssentialNonAliessa_CSW_NONFAC | $93.22 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_Ancillary Providers_FA | $96.04 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_Ancillary Providers_NO | $96.04 |
| Blue Cross | HMO_FAC | $96.24 |
| Blue Cross | HMO_NONFAC | $96.24 |
| Blue Cross | EssentialNonAliessa_Ancillary Providers_NONFAC | $106 |
| Blue Cross | EssentialNonAliessa_Ancillary Providers_FAC | $106 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_MD_FAC | $113 |
| Blue Cross | EssentialAliessa-Medicaid-CHP-HARP_MD_NONFAC | $113 |
| Blue Cross | Medicare_FAC | $113 |
| Blue Cross | Medicare_NONFAC | $113 |
| CDPHP | Medicare_NONFAC | $113 |
| CDPHP | Medicare_FAC | $113 |
| Emblem Health GHI | Medicare_NONFAC | $113 |
| Blue Cross | PPO_NONFAC | $114 |
| Blue Cross | PPO_FAC | $114 |
| Aetna | Medicare_NONFAC | $115 |
| Aetna | Medicare_FAC | $115 |
| Blue Shield Highmark | Medicare_NOF | $119 |
| Blue Shield Highmark | Medicare_OFF | $119 |
| Blue Cross | EssentialNonAliessa_MD_NONFAC | $124 |
| Blue Cross | EssentialNonAliessa_MD_FAC | $124 |
| Emblem Health GHI | All Products_NONFAC | $124 |
| Blue Shield Highmark | Medicare_BH_Psychiatrist | $125 |
| Blue Shield Highmark | All Products_BH_Psychiatrist | $125 |
Inpatient
$797cash price (self-pay)
$1,593list price
$1,115–$1,513range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | PPO | $1,354 |
| United Healthcare | All Products | $1,434 |
| MagnaCare | All Products | $1,513 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.