Emergency visit, high (level 4) at Soldiers & Sailors Memorial Hospital. CPT 99284.
What Soldiers & Sailors Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 27, 2026.
Outpatient / ER
$801cash price (self-pay)
$2,003list price
$586–$1,602range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus Blue Choice Options | Managed Medicaid | $586 |
| Emblem | Commercial | $698 |
| United Healthcare | Medicare Advantage | $781 |
| Wellcare | Medicare Advantage | $781 |
| Excellus Blue Choice | Medicare Advantage | $821 |
| Aetna | Medicare Advantage | $881 |
| Aetna | Commercial | $881 |
| MVP Health Care | Commercial | $881 |
| Fidelis | Medicare Advantage | $903 |
| Excellus Blue Cross | Commercial | $921 |
| United Healthcare | Commercial | $1,602 |
Inpatient
$801cash price (self-pay)
$2,003list price
—range insurers pay
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