Emergency visit, high (level 4) at Northeastern Vermont Regional Hospital. CPT 99284.
What Northeastern Vermont Regional Hospital publishes for this service, straight from its standard-charges file, last updated August 27, 2026.
Outpatient / ER
$174cash price (self-pay)
$409list price
$83.52–$1,196range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B VT JK | All Plans | $110 |
| Medicare A VT JK | All Plans | $127 |
| Martins Point | All plans | $147 |
| Blue Cross Blue Shield of VT | Anthem IQHP | $156 |
| Blue Cross Blue Shield of VT | Managed Care | $343 |
| Cigna | All Commerical | $348 |
| Harvard Pilgrim HealthCare | All other plans | $380 |
| Harvard Pilgrim HealthCare | NVRH Employee plan | $380 |
| Mohawk Valley Physicians MVP Health Care | All plans | $389 |
| Medicaid Vermont | All Plans | $409 |
| United Healthcare | All plans | $1,196 |
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All common services at Northeastern Vermont Regional Hospital