Emergency visit, high (level 4) at University of Vermont Medical Center. CPT 99284.
What University of Vermont Medical Center publishes for this service, straight from its standard-charges file, last updated April 28, 2026.
Outpatient / ER
$355cash price (self-pay)
$355list price
$84.74–$6,062range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MVP | Essential Plans | $95.03 |
| MVP | Managed Medicaid | $95.03 |
| Fidelis Care | Essential Plans | $129 |
| Fidelis Care | Managed Medicaid | $129 |
| United Healthcare Empire Plan | Commercial PPO for NY State Employees | $203 |
| United Healthcare | Managed Medicaid/Essential Plans | $245 |
| Aetna | Medicare Advantage | $270 |
| Capital District Physicians' Health Plan | Medicare Advantage | $270 |
| Humana Military | TRICARE | $270 |
| St. Regis | HMO | $270 |
| United Healthcare | Medicare Advantage | $270 |
| Veterans Affairs Community Care Network | Veterans Administration | $270 |
| Martins Point | TRICARE Prime/Department of Defense | $276 |
| BlueCross BlueShield Vermont | Medicare Advantage | $276 |
| MVP | Medicare Advantage | $277 |
| Fidelis Care | Medicare Advantage | $300 |
| Excellus BlueCross BlueShield | Medicare Advantage | $343 |
| Wellpath | FCI Ray Brook | $400 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $532 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $561 |
| Cigna | Behavioral Health | $591 |
| Wellpath | Correctional Healthcare | $654 |
| Capital District Physicians' Health Plan | Commercial | $868 |
| BlueCross BlueShield Vermont | The Vermont Health Plan/Vermont Health | $888 |
| MVP | Commercial | $923 |
| Empire BlueCross BlueShield | HMO | $923 |
| Harvard Pilgrim | Commercial | $951 |
| MagnaCare | Commercial | $951 |
| Excellus BlueCross BlueShield | Commercial | $1,002 |
| EBPA | ERISA Welfare Plans | $1,006 |
Inpatient
$2,022cash price (self-pay)
$2,022list price
$566–$1,820range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Military | TRICARE | $566 |
| Cigna | Behavioral Health | $591 |
| Excellus BlueCross BlueShield | Managed Medicaid/Essential Plans | $971 |
| Capital District Physicians' Health Plan | Managed Medicaid/Essential | $1,011 |
| Wellpath | Correctional Healthcare | $1,112 |
| Excellus BlueCross BlueShield | Commercial | $1,511 |
| Empire BlueCross BlueShield | HMO | $1,577 |
| Harvard Pilgrim | Commercial | $1,618 |
| MagnaCare | Commercial | $1,618 |
| Coventry | Commercial | $1,719 |
| EBPA | ERISA Welfare Plans | $1,739 |
| NPPN | Commercial | $1,820 |
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