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Emergency visit, high (level 4) at Selby General Hospital. CPT 99284.

What Selby General Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.

Outpatient / ER

$150cash price (self-pay)
$1,809list price
$325–$325range insurers pay
Insurance planNegotiated rate
Aetna | All Commercial Plans$325
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All common services at Selby General Hospital