Emergency visit, high (level 4) at Fulton County Medical Center. CPT 99284.
What Fulton County Medical Center publishes for this service, straight from its standard-charges file, last updated September 14, 2026.
Outpatient / ER
$223cash price (self-pay)
$370list price
$117–$1,007range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Humana | $117 |
| Amerihealth Medicare | Amerihealth Medicare | $130 |
| Cigna | Cigna | $130 |
| Highmark Medicare | Highmark Medicare | $130 |
| MEDICARE ADVANTAGE 100% | MEDICARE ADVANTAGE 100 PerCent | $130 |
| Devoted Health Plan | Devoted Health Plan | $137 |
| Upmc Medicare | Upmc Medicare | $137 |
| MEDICARE ADVANTAGE (115Percentage POM) | MEDICARE ADVANTAGE (115 Perce | $150 |
| Aetna Medicare | Aetna Medicare | $170 |
| Geisinger | Geisinger | $249 |
| Self-Pay | Self-Pay | $259 |
| Capital Blue Cross | Capital Blue Cross | $296 |
| Highmark Commercial | Highmark Commercial | $303 |
| Aetna | Aetna | $306 |
| UHC | UHC | $333 |
| Upmc | Upmc | $333 |
Inpatient
$223cash price (self-pay)
$370list price
$184–$985range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Cigna | $213 |
| Geisinger | Geisinger | $249 |
| Self-Pay | Self-Pay | $259 |
| Capital Blue Cross | Capital Blue Cross | $296 |
| Humana | Humana | $296 |
| Highmark Commercial | Highmark Commercial | $303 |
| Aetna | Aetna | $306 |
| Upmc | Upmc | $326 |
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