Emergency visit, high (level 4) at Landmark Medical Center. CPT 99284.
What Landmark Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$466cash price (self-pay)
$2,618list price
$280–$2,487range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tufts Health Plan | Tufts Health Plan Medicaid - MassHealth Mass subsi | $280 |
| Traditional Medicaid | Traditional Medicaid | $310 |
| UHC | UHC Medicaid | $410 |
| Neighborhood Health Plan | Neighborhood Health Plan Integrity | $415 |
| Aetna | Aetna Medicare | $467 |
| Humana | HUMANA MILITARY TRICARE | $467 |
| Neighborhood Health Plan | Neighborhood Health Plan Medicare | $467 |
| Traditional Medicare | Traditional Medicare | $467 |
| Traditional Medicare AD-HOC | Traditional Medicare | $467 |
| Tricare | Tricare | $467 |
| Tufts Health Plan | Tufts Health Plan Mass Duals | $467 |
| Tufts Health Plan | Tufts Medicare | $467 |
| Tufts Health Plan | Tufts TMC | $467 |
| UHC | UHC Medicare | $467 |
| UHC Va Ccn | UHC Va Ccn | $467 |
| Common Wellthcare Alliance | Commonwealth Care Alliance Medicare Advan | $476 |
| Wellcare | Wellcare Medicare | $476 |
| Common Wellthcare Alliance | Commonwealth Care Alliance Medicare One C | $490 |
| Neighborhood Health Plan | Neighborhood Health Plan Commercial | $498 |
| Neighborhood Health Plan | Neighborhood Health Plan Medicaid | $542 |
| Tufts Health Plan | Tufts Health Plan Medicaid | $544 |
| BCBS Of RI | BCBS RI Medicare | $548 |
| Employer Direct Healthcare | Employer Direct Healthcare | $654 |
| BCBS Of RI | BCBS RI Comm & Ins Exchange | $1,392 |
| UHC | UHC Commercial All Payer | $1,734 |
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