Emergency visit, high (level 4) at Aultman Alliance Community Hospital. CPT 99284.
What Aultman Alliance Community Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$505cash price (self-pay)
$1,123list price
$395–$1,425range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Dual Eligible Medicare/Medicaid Managed Care Plan | $395 |
| Caresource | Medicare Managed Care Plan | $403 |
| Bcbs | Anthem Pathway Exchange | $790 |
| Buckeye Community Health Plan | Ambetter Exchange | $790 |
| Bcbs | Anthem Hmo/Ppo | $1,425 |
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