Emergency visit, high (level 4) at Westfield Memorial Hospital. CPT 99284.
What Westfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.
Outpatient / ER
$74.80cash price (self-pay)
$1,916list price
$80.00–$967range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth | Amerihealth Medicaid CHC | $80.00 |
| Amerihealth | Amerihealth Medicaid HC | $80.00 |
| Univera | Univera Essential Plan | $98.57 |
| Univera | Univera Healthy New York | $98.57 |
| Amerihealth | Amerihealth Caritas Medicare (NY) | $100 |
| Univera | Univera Medicare | $116 |
| Community Care Behavorial Health University of Pittsburgh Medical Cent | $138 |
| Community Care Behavorial Health HealthChoices | Community Care Behavo | $138 |
| Amerihealth | Amerihealth Caritas CHC Medicaid | $138 |
| Amerihealth | Amerihealth Caritas HC Medicaid | $138 |
| Univera | Univera Commercial | $139 |
| Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Me | $143 |
| Jefferson Health Plans | Jefferson Health Plans | $146 |
| Geisinger | Geisinger CHIP | $153 |
| Geisinger | Geisinger Medicaid HC | $153 |
| Highmark | Highmark Blue High Performance | $153 |
| United Healthcare | United Healthcare Medicaid | $164 |
| United Healthcare | United Healthcare CHIP | $189 |
| Highmark | Highmark Together Blue | $201 |
| Highmark | Highmark My Direct Blue | $296 |
| Amerihealth | Amerihealth Caritas D-SNP Medicare | $315 |
| Highmark | Highmark Social Mission Indemnity | $345 |
| Highmark | Highmark Social Mission Managed Care | $345 |
| United Healthcare | United Healthcare Commercial | $374 |
| Highmark | Highmark My Blue Access | $384 |
| Highmark | Highmark Performance Blue | $443 |
| Highmark | Highmark Community Blue Medicare PPO | $464 |
| Highmark | Highmark Complete Blue Medicare | $464 |
| Highmark | Highmark Freedom Blue | $469 |
| Highmark | Highmark Connect Blue | $472 |
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