Emergency visit, high (level 4) at Mary Rutan Health. CPT 99284.
What Mary Rutan Health publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$571cash price (self-pay)
$1,941list price
$411–$1,336range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Managed Care Plan | $411 |
| Buckeye Health Plan | Ambetter Exchange | $719 |
| Quality Care Partners | Steered PPO | $1,172 |
| Quality Care Partners | Antitode Exchange | $1,336 |
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