Emergency visit, high (level 4) at St. Peters Health Partners. CPT 99284.
What St. Peters Health Partners publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$40.48cash price (self-pay)
$253list price
$12.27–$3,614range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Everence | Pb Xr 100% Default | $147 |
| Rx Allwin | Pb Xr 100% Default | $147 |
| Molina Medicare Advantage | Pb Xr 100% Default | $147 |
| Health Choices | Pb Xr 100% Default | $147 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $147 |
| The Health Plan | Pb Xr 100% Default | $147 |
| Union Health Service | Pb Xr 100% Default | $147 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $147 |
| Dentaquest | Pb Xr 100% Default | $147 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $147 |
| Capital District Physicians Health Medicaid Advantage | Cdphp Medicaid | $184 |
| Medigold Medicare Advantage | Medigold Medicare Advantage | $521 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $531 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $551 |
| Vnsny Choice Medicaid | Vns Choice | $552 |
| Wellcare Medicare | Wellcare Medicare Advantage | $569 |
| Blue Cross - Oh (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1,198 |
| Blue Cross - Va (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1,198 |
| Blue Cross - NY (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1,198 |
| Blue Cross - Sd (Wellmark) | Empire BCBS HMO EPO PPO Indemnity | $1,198 |
| Blue Cross - Co (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1,198 |
| Blue Cross - Ct (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $1,198 |
| Blue Cross - NY (Excellus) Medicaid Advantage | Empire Medicaid Essent | $1,427 |
| Blue Cross - NY (Anthem) Medicaid Advantage | Empire Medicaid Essentia | $1,427 |
| Blue Cross - IL | Blue Shield Of Ne New York HMO | $1,732 |
| Blue Cross - Ne | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Vt | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Va (Carefirst) | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Wa (Premera) | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Shield - Wa (Regence) | Blue Shield Of Ne New York PPO | $2,165 |
Inpatient
$309cash price (self-pay)
$309list price
$76.68–$309range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Choices | Pb Xr 100% Default | $309 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $309 |
| Union Health Service | Pb Xr 100% Default | $309 |
| Dentaquest | Pb Xr 100% Default | $309 |
| The Health Plan | Pb Xr 100% Default | $309 |
| Molina Medicare Advantage | Pb Xr 100% Default | $309 |
| Everence | Pb Xr 100% Default | $309 |
| Rx Allwin | Pb Xr 100% Default | $309 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $309 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $309 |
| Bmc Healthnet | Pb Xr 100% Default | $309 |
| Wc Key Ins & Benefit Solutions | Pb Xr 100% Default | $309 |
| Rx Epicash | Pb Xr 100% Default | $309 |
| Wc Health Management | Pb Xr 100% Default | $309 |
| Capital District Physicians Health Medicaid Advantage | Pb Xr 100% Def | $309 |
| Rx 340b Pass Along | Pb Xr 100% Default | $309 |
| Wc Tristar | Pb Xr 100% Default | $309 |
| Carefirst | Pb Xr 100% Default | $309 |
| Medicaid Pending | Pb Xr 100% Default | $309 |
| Physicians Health Plan Northern Indiana Health Insurance | Pb Xr 100% | $309 |
| Medicaid Advantage Generic | Pb Xr 100% Default | $309 |
| Wc Genex Care For Ohio | Pb Xr 100% Default | $309 |
| Rx First Fill Program | Pb Xr 100% Default | $309 |
| Greek Catholic Union | Pb Xr 100% Default | $309 |
| Hospice Of Lansing | Pb Xr 100% Default | $309 |
| Global Health Claim Services | Pb Xr 100% Default | $309 |
| The Alliance | Pb Xr 100% Default | $309 |
| Wc One Call Medical | Pb Xr 100% Default | $309 |
| Rx Abacus Rx | Pb Xr 100% Default | $309 |
| Cmh Ottawa County | Pb Xr 100% Default | $309 |
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