Emergency visit, high (level 4) at Galion Community Hospital. CPT 99284.
What Galion Community Hospital publishes for this service, straight from its standard-charges file, last updated March 20, 2026.
Outpatient / ER
$870cash price (self-pay)
$1,023list price
$116–$5,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | Medicaid_Outpatient | $116 |
| Traditional_Medicaid | Outpatient | $116 |
| OhioRise | Medicaid_Outpatient | $116 |
| Molina | Medicaid_Outpatient | $118 |
| Anthem | Medicaid_Outpatient | $119 |
| AmeriHealth | Medicaid_Outpatient | $122 |
| United_HealthCare | Medicaid_Outpatient | $122 |
| Buckeye | Medicaid_Outpatient | $125 |
| Humana_Horizons | Medicaid_Outpatient | $125 |
| Anthem | Medicare_Outpatient | $348 |
| Buckeye | Medicare_Outpatient | $348 |
| Humana | Medicare_Outpatient | $348 |
| Traditional_Medicare | Outpatient | $348 |
| Mount_Carmel | Medicare_Outpatient | $348 |
| Molina | Medicare_Outpatient | $348 |
| United_Healthcare | Medicare_Outpatient | $348 |
| Aetna | Medicare_Outpatient | $355 |
| Molina | Marketplace_Outpatient | $557 |
| Anthem_Pathway_Group_HMO | Pathway_X | $786 |
| Anthem | Blue_Access_I-II_Enhanced_Choice_Pathway_X | $788 |
| Medical_Mutual | Commercial | $818 |
| Anthem | Traditional_Blue_Access_Blue_Preferred | $849 |
| Anthem | Blue_Access_Blue_Preferred | $849 |
| Aetna | All_Commercial | $870 |
| Cigna | Commercial | $900 |
| United_HealthCare | Commercial | $941 |
| Anthem | Medicare_Inpatient | $4,142 |
| Buckeye | Medicare_Inpatient | $4,142 |
| Humana | Medicare_Inpatient | $4,142 |
| Traditional_Medicare | Inpatient | $4,142 |
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