Emergency visit, high (level 4) at Wynn Hospital. CPT 99284.
What Wynn Hospital publishes for this service, straight from its standard-charges file, last updated August 7, 2026.
Outpatient / ER
$88.20cash price (self-pay)
$2,655list price
$45.02–$2,267range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MEDICAID PENDING [309998] | Medicaid | $45.02 |
| MEDICAID NY [300033] | Medicaid | $45.02 |
| MEDICAID OUT OF STATE [309999] | Medicaid | $45.02 |
| UNITED HEALTHCARE ALTERNATE [100260] | UHC Empire Plan | $94.00 |
| HUMANA MEDICARE ADVANTAGE [450013] | Humana Medicare Advantage | $113 |
| HUMANA [100052] | ChoiceCare | $113 |
| MEDICARE [400001] | Medicare | $114 |
| TRINITY HEALTH PLAN NEW YORK MEDICARE [450050] | Medigold | $116 |
| WELLCARE MEDICARE [450023] | WellCare | $117 |
| WELLCARE MEDICAID [350022] | WellCare | $117 |
| MVP MEDICAID [350080] | MVP Medicaid | $118 |
| MVP MEDICARE REPLACEMENT [450066] | MVP Medicare Advantage | $121 |
| EMBLEM HEALTH [100133] | Emblem | $127 |
| MVP [100257] | MVP Health Exchange | $138 |
| BLUE CROSS FEDERAL [200063] | Excellus BCBS Federal | $147 |
| LIFETIME BENEFIT SOLUTION [100256] | Lifetime | $147 |
| Mvp [100257] | Mvp HMO/PPO | $153 |
| Cigna [100009] | Mvp HMO/PPO | $153 |
| AETNA MEDICARE ADVANTAGE [450001] | Aetna Medicare Advantage | $323 |
| MEDICARE ALTERNATE [400002] | Medicare | $521 |
| MEDICARE RAILROAD ALTERNATE [400004] | Medicare | $521 |
| UNITED HEALTHCARE MEDICARE [450021] | UHC Medicare Advantage | $526 |
| WELLCARE MEDICARE [450023] | WellCare Medicare Advantage | $536 |
| Access Compliance [109956] | Hb Mvhs Voucher | $568 |
| EXCELLUS HMO MEDICAID APG [350082] | Excellus BCBS Medicaid | $702 |
| BLUE CROSS NY EXCELLUS [200041] | Excellus BCBS Medicaid | $702 |
| BLUE CROSS NY EXCELLUS MEDICAID [350081] | Excellus BCBS Medicaid | $702 |
| FIDELIS EXCHANGE [100254] | Fidelis Health Exchange | $703 |
| BLUE CROSS NY WESTERN NEW YORK [200042] | Excellus BCBS Indemnity | $852 |
| BLUE SHIELD NY NORTHEASTERN NEW YORK [200043] | Excellus BCBS Indemnit | $852 |
Inpatient
$137cash price (self-pay)
$2,655list price
$45.02–$2,267range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UNITED HEALTHCARE MEDICARE [450021] | UHC Medicare Advantage | $79.80 |
| MARTINS POINT US FAMILY HEALTH [600006] | Humana Military | $107 |
| US FAMILY HEALTH PLAN [600002] | Humana Military | $107 |
| Humana Military/Tricare WPS [600005] | Humana Military | $107 |
| TRICARE [600001] | Humana Military | $107 |
| UNITED HEALTHCARE ALTERNATE [100260] | UHC Empire Plan | $1,062 |
| WELLPATH [500030] | WellPath | $1,593 |
| HUMANA [100052] | Humana HMO/POS | $1,726 |
| MVP [100257] | MVP and Cigna Commercial | $1,880 |
| CIGNA [100009] | MVP and Cigna Commercial | $1,880 |
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