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Emergency visit, high (level 4) at Grace Cottage Hospital. CPT 99284.

What Grace Cottage Hospital publishes for this service, straight from its standard-charges file.

Outpatient / ER

$346cash price (self-pay)
$931list price
$112–$1,428range insurers pay
Insurance planNegotiated rate
Humana | Medicare Advantage$270
MVP Health Plan | Commercial$698
United Healthcare Insurance Company | Commercial$800
Health Plans, Inc. | Commercial$838
Cigna Health and Life Insurance Company | Commercial$884
Aetna | Commercial$903
Blue Cross Blue Shield of Vermont | Commercial$931
Health New England | Commercial$931
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All common services at Grace Cottage Hospital