Emergency visit, high (level 4) at Harmon Memorial Hospital. CPT 99284.
What Harmon Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$1,055cash price (self-pay)
$1,055list price
$749–$897range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Medicare Advantage | $749 |
| Global Health | Medicare Advantage | $749 |
| Humana | Medicare Advantage | $749 |
| Coventry | First Health PPO | $791 |
| Prime Health Services | PPO | $791 |
| Prime Health Services | Medicare Advantage | $823 |
| Aetna | All Plans | $844 |
| Global Health | Commercial | $897 |
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