Emergency visit, high (level 4) at Liberty Dayton Regional Medical Center. CPT 99284.
What Liberty Dayton Regional Medical Center publishes for this service, straight from its standard-charges file.
Outpatient / ER
$263cash price (self-pay)
$827list price
$226–$1,213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $496 |
| Cigna | Commercial | $496 |
| Humana | Commercial | $579 |
| TriWest | Commercial | $620 |
| Blue Cross and Blue Shield | HMO | $785 |
| Blue Cross and Blue Shield | Blue Essentials | $785 |
| Blue Cross and Blue Shield | PPO | $785 |
| UHC | Commercial | $785 |
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All common services at Liberty Dayton Regional Medical Center