Emergency visit, high (level 4) at St. John's Riverside Hospital. CPT 99284.
What St. John's Riverside Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$1,295cash price (self-pay)
$1,523list price
$492–$1,630range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Fidelis Health Benefit Exchange | Fidelis Health Benefit Exchange | $492 |
| Aetna | Medicare | $518 |
| Carelon Medicare | Carelon Medicare | $518 |
| Centers Plan For Healthy Living | Centers Plan For Healthy Living | $518 |
| Fidelis | Medicare | $518 |
| HealthFirst | Medicare | $518 |
| HIP Health Plan | Medicare Advantage | $518 |
| MagnaCare | Medicare Advantage | $518 |
| MetroPlus Medicare Advantage | MetroPlus Medicare Advantage | $518 |
| MVP | Medicare | $518 |
| MVP BHS | Medicare | $518 |
| Oscar | Medicare | $518 |
| Partners Health Plan | Dually Enrolled | $518 |
| United Behavioral Health of NY IPA | United Behavioral Health of NY IP | $518 |
| Village Caremax | Village Caremax | $518 |
| Wellcare | Wellcare | $518 |
| MetroPlus Gold | MetroPlus Gold | $544 |
| Oscar | Commercial | $544 |
| Emblem Health | Select Care Network | $813 |
| 1199 SEIU National Benefit Funds | 1199 SEIU National Benefit Funds | $826 |
| Emblem Health | GHI | $886 |
| Emblem Health | HIP | $966 |
| MVP Individual Exchange.Student Health Plan | MVP Individual Exchange. | $1,021 |
| Empire HMO | Empire HMO | $1,090 |
| MVP Commercial | MVP Commercial | $1,196 |
| Empire Blue Cross Blue Shield PPO | Empire Blue Cross Blue Shield PPO | $1,322 |
| Aetna Health | Aetna Health | $1,419 |
| Cigna | Cigna | $1,538 |
| Empire Blue Cross Blue Shield Indemnity | Empire Blue Cross Blue Shiel | $1,548 |
| United Healthcare | Oxford OX | $1,630 |
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