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Emergency visit, high (level 4) at Summa Health System. CPT 99284.

What Summa Health System publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$2,864cash price (self-pay)
$2,864list price
$362–$1,753range insurers pay
Insurance planNegotiated rate
Aetna | Medicare Managed Care Plan$395
Cigna | Medicare Managed Care Plan$407
Caresource | Medicare Managed Care Plan$415
Buckeye Health Plan | Medicare Managed Care Plan$493
Medical Mutual | Aca Exchange$552
Aetna | Exchange$592
Bcbs | Anthem Pathway Exchange$620
Unitedhealthcare | Exchange$671
Buckeye Health Plan | Ambetter Exchange$730
Medical Mutual | Medflex Other Commercial Plan$799
Medical Mutual | Supermed Hmo/Pos/Ppo$884
Summacare | Excludes Community Choice All Commercial Plans$924
Cigna | All Commercial Plans$1,365
Bcbs | Anthem Blue Access/Blue Preferred Hmo/Ppo$1,392
Unitedhealthcare | All Commercial Plans$1,490
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All common services at Summa Health System