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Emergency visit, high (level 4) at The Miriam Hospital. CPT 99284.

What The Miriam Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$3,500cash price (self-pay)
$3,500list price
$408–$2,635range insurers pay
Insurance planNegotiated rate
Bcbs | Medicare Managed Care Plan$408
Bcbs | Medicare Managed Care Plan - Dual (D-Snp)$469
Aetna | Medicare Managed Care Plan$480
Neighborhood Health Plan - Ri | Hmo$858
Bcbs | Hmo$860
Bcbs | Ppo$955
Tufts Health Plan | Hmo/Ppo$1,772
Cigna | Hmo/Ppo$2,635
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All common services at The Miriam Hospital