Emergency visit, high (level 4) at Fairview Regional Medical Center. CPT 99284.
What Fairview Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 1, 2026.
Outpatient / ER
$699cash price (self-pay)
—list price
$110–$520range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 520.2 | Aetna | $110 |
| 419.4 | Aetna | $110 |
| 520.2 | Medicaid | $110 |
| 419.4 | Medicaid | $110 |
| 520.2 | BCBS | $154 |
| 419.4 | BCBS | $154 |
| 520.2 | Healthchoice | $208 |
| 419.4 | Healthchoice | $208 |
| 419.4 | Medicare | $398 |
| 520.2 | Medicare | $493 |
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