Emergency visit, high (level 4) at White Plains Hospital. CPT 99284.
What White Plains Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
—cash price (self-pay)
$4,373list price
$137–$6,670range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellcare | Medicare | $334 |
| Elderplan | Medicare | $387 |
| Aetna | Medicare | $516 |
| Emblem | Medicare | $521 |
| Fidelis | Medicare | $521 |
| Point Comfort | Point Comfort | $521 |
| Veterans Affair | Community Care | $521 |
| VillageCareMAX | Medicare | $521 |
| VNSNY Choice | Medicare | $521 |
| Anthem | Medicare | $521 |
| HealthFirst | Medicare | $521 |
| UHC | Medicare | $531 |
| Centerlight | PACE | $536 |
| Partners Health Plan | Partners Health | $547 |
| Hamaspik | Medicare | $563 |
| Longevity | Medicare | $568 |
| Centerlight | Medicare | $573 |
| Humana | Medicare | $573 |
| Emblem | Select Care | $625 |
| Molina Healthcare of NY Affinity | Essential Plan 1 & 2 | $719 |
| Molina Healthcare of NY Affinity | Essential Plan 200-250 | $1,151 |
| Oscar | Commercial | $1,534 |
| Emblem | HIP HMO | $2,052 |
| Cigna | Commercial | $2,205 |
| Anthem | Connection SG | $2,325 |
| Anthem | SG EPO/PPO | $2,470 |
| Anthem | Connection LG | $2,615 |
| Cigna | LocalPlus | $2,855 |
| Anthem | HMO, POS, PPO, EPO, Indemnity | $2,906 |
| Emblem | HIP -Commerical EPO, PPO | $3,459 |
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