Emergency visit, high (level 4) at Springfield Hospital. CPT 99284.
What Springfield Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$362cash price (self-pay)
$795list price
$124–$1,150range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Anthem Exchange | $272 |
| Anthem | Medicare Advantage | $272 |
| MVP Health Plan | Medicare Advantage | $272 |
| United Healthcare | Medicare Advantage | $272 |
| Wellsense | Medicare Advantage | $272 |
| Harvard Pilgrim Health Care | Medicare Advantage | $275 |
| WellCare | Medicare Advantage | $280 |
| Tufts Health Plan | Commercial | $489 |
| Anthem | Commercial | $533 |
| Cigna | Commercial | $558 |
| MVP Health Plan | Commercial | $612 |
| Harvard Pilgrim Health Care | Commercial | $658 |
| MultiPlan | Commercial | $660 |
| United Healthcare | Commercial | $715 |
| Aetna | Commercial | $755 |
| Coventry | Commercial | $755 |
| Beacon Health | Commercial | $795 |
| Blue Cross Blue Shield | Medicare Advantage | $795 |
| Manage Behavioral Health | Commercial | $795 |
| Martin's Point Healthcare | Tricare | $795 |
| Wellsense | Commercial | $795 |
| Cigna | Medicare Advantage | $826 |
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