Emergency visit, high (level 4) at United Memorial Medical Center. CPT 99284.
What United Memorial Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$936cash price (self-pay)
$1,440list price
$96.92–$533range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus | Medicare Advantage | $96.92 |
| United Healthcare | Medicare Advantage | $114 |
| Wellcare | Medicare Advantage | $114 |
| Highmark | Medicare Advantage | $120 |
| Molina Healthcare Of NY | Medicaid Mma Chp | $167 |
| Highmark | Commercial HMO/PPO/Pps | $186 |
| Highmark | Commercial Indemnity | $186 |
| Mvp - Cigna | Commercial Individual Exchange | $336 |
| Excellus | Commercial | $533 |
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