Emergency visit, high (level 4) at Haskell Memorial Hospital. CPT 99284.
What Haskell Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 15, 2026.
Outpatient / ER
$403cash price (self-pay)
$597list price
$95.47–$717range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana ChoiceCare | Medicare Advantage | $158 |
| United HealthCare | Medicare Advantage | $158 |
| Blue Cross Blue Shield | Advantage HMO Network | $318 |
| FirstCare | Managed Medicaid | $406 |
| United HealthCare | Managed Medicaid | $406 |
| Superior Healthplan Inc. | Managed Medicaid | $406 |
| Blue Cross Blue Shield | Essentials Network | $465 |
| Blue Cross Blue Shield | Traditional Indemnity | $480 |
| Blue Cross Blue Shield | PPO/POS Network | $480 |
| Humana ChoiceCare | Commercial | $526 |
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