Emergency visit, high (level 4) at Advanced Surgical Hospital. CPT 99284.
What Advanced Surgical Hospital publishes for this service, straight from its standard-charges file, last updated April 24, 2026.
Outpatient / ER
$413cash price (self-pay)
$400list price
$200–$788range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of WV | Commercial | $200 |
| Highmark BCBS | My Direct Blue | $392 |
| Highmark BCBS | Community/Complete Blue Medicare Advantage | $403 |
| Highmark BCBS | Freedom Security Blue Medicare Advantage | $403 |
| Medicare | Medicare | $413 |
| Aetna | Medicare Advantage | $413 |
| Amerihealth | Medicare Advantage | $413 |
| Cigna Healthspring | Medicare Advantage | $413 |
| Health Plan of WV | Medicare Advantage | $413 |
| HealthAmerica | Medicare Advantage | $413 |
| PA Health and Wellness | Medicare Advantage | $413 |
| United Healthcare | Medicare Advantage | $413 |
| Amerihealth | Medicaid | $413 |
| PA Health and Wellness | Medicaid | $413 |
| United Healthcare | VACCP | $413 |
| Veteran Administration | Veterans Choice | $413 |
| Highmark BCBS | CHIP | $492 |
| Highmark BCBS | My Blue Access PPO | $493 |
| HealthAmerica | Commercial | $495 |
| Highmark BCBS | Performance | $500 |
| Highmark BCBS | Indemnity and Managed Care | $510 |
| Aetna | Commercial | $660 |
| Aetna | Rental | $660 |
| Alliance Coal | Commercial | $660 |
| Cigna | Commercial | $771 |
| United Healthcare | Commercial | $788 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.