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

What Amery Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$254cash price (self-pay)
$809list price
$130–$1,214range insurers pay
Insurance planNegotiated rate
BCBS Medicaid Replacement [950295] | BCBS Pmap [95296]$242
Hp Medicare Replacement [950306] | Hp Medicare Advantage [95307]$268
BCBS Medicare Replacement [950296] | BCBS Medicare Advantage [50299]$272
UHC Medicare Replacement [950281] | UHC Medicare Advantage PPO [50275]$277
Medica Medicare Replacement [950299] | Medica Government Advantage [50$280
Medica [900156] | Medica Choice [90156]$722
First Health Network [950334] | First Health Network [95334]$728
Unitedhealthcare [900444] | UHC [50131]$784
Healthpartners [900713] | Hp Self Insured [91021]$1,214
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All common services at Amery Hospital