Emergency visit, high (level 4) at North Country Hospital and Health Center. CPT 99284.
What North Country Hospital and Health Center publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$195cash price (self-pay)
$244list price
$1.40–$1,086range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | All Products | $1.40 |
| Cigna | Nurse Practioner/PA - Facility | $105 |
| BCBS | Blue Advantage | $109 |
| Cigna | PCP & Specialist Providers - Facility | $124 |
| Harvard Pilgrim Healthcare | All Products - Facility | $135 |
| Harvard Pilgrim Healthcare | All Products - Non-Facility | $135 |
| BCBS | All Products - Facility | $141 |
| BCBS | All Products - Non-Facility | $141 |
| VT WC | Workers Comp | $151 |
| MVP | All Products | $167 |
| UHC | Medicare Advantage | $201 |
| MVP | Medicare Advantage | $201 |
| BCBS | Tvhp | $967 |
| BCBS | Health Partnership | $984 |
| Harvard Pilgrim Healthcare | All Products | $990 |
| BCBS | Indemnity | $1,008 |
| Cigna | All Products | $1,080 |
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All common services at North Country Hospital and Health Center