Emergency visit, high (level 4) at East Liverpool City Hospital. CPT 99284.
What East Liverpool City Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$392cash price (self-pay)
$2,523list price
$92.33–$2,472range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Buckeye Community Health Plan | Buckeye Community Health Plan Medicaid | $92.33 |
| Molina | Molina Medicaid | $92.33 |
| Standard EAPG Logic | EAPG Logic (Accounts not processed through 3M) | $92.33 |
| Traditional Medicaid | Traditional Medicaid | $92.33 |
| Care Source | Care source Medicaid | $94.18 |
| Anthem Blue Cross | Anthem BCBS Medicaid | $95.10 |
| Paramount | Paramount Medicaid | $95.10 |
| Amerihealth Caritas | Amerihealth Caritas Medicaid | $96.95 |
| UHC | UHC Medicaid | $96.95 |
| West Virgina Medicaid | West Virgina Medicaid | $192 |
| UHC | UHC Medicare | $385 |
| Anthem Blue Cross | Anthem Medicare | $393 |
| Buckeye Community Health Plan | Buckeye Community Health Plan Duals | $393 |
| Buckeye Community Health Plan | Buckeye Health Plan Medicare | $393 |
| Health America | Health America Coventry Aetna Medicare | $393 |
| Medical Mutual of OH | Medical Mutual of OH Medicare | $393 |
| Molina | Molina Medicare | $393 |
| Traditional Medicare | Traditional Medicare | $393 |
| Tricare | Tricare | $393 |
| UHC | UHC Duals | $393 |
| UHC - Va Ccn | UHC - Vaccn | $393 |
| Care Source | Caresource Duals | $405 |
| Care Source | Caresource Duals - My Care | $405 |
| Devoted Health | Devoted Health | $412 |
| COMMUNICARE | COMMUNICARE Medicare Advantage | $420 |
| Valor Health Plan | Valor Health Plan | $420 |
| Perennial | Perennial Advantage | $432 |
| Naphcare | Naphcare Prison | $471 |
| Employer Direct Healthcare | Employer Direct Healthcare - Surgery Plus | $550 |
| Care Source | Caresource Exchange | $570 |
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