Emergency visit, high (level 4) at Ashtabula Regional Medical Center. CPT 99284.
What Ashtabula Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$874cash price (self-pay)
$1,248list price
$118–$1,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SummaCare | Medicare Advantage | $123 |
| Anthem Blue Cross Blue Shield | HIX | $147 |
| Oscar Cleveland | Commercial | $159 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $282 |
| CareSource | Medicare Advantage | $282 |
| Buckeye PACE | Medicare Advantage | $282 |
| Medical Mutual | Medicare Advantage | $284 |
| Aetna | Medicare Advantage | $291 |
| Valor | Medicare Advantage | $296 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $299 |
| Molina | Medicare Advantage | $301 |
| United Healthcare | Medicare Advantage | $308 |
| United Healthcare | Commercial | $450 |
| Aetna | Commercial | $516 |
| Cigna | Commercial | $522 |
| Medical Mutual | Commercial | $639 |
| Ohio Health Choice | Commercial | $657 |
| Molina Marketplace | Commercial | $670 |
| SummaCare | Commercial | $1,123 |
Inpatient
$874cash price (self-pay)
$1,248list price
$537–$1,173range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $537 |
| Medical Mutual | Commercial | $711 |
| Ohio Health Choice | Commercial | $1,173 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.