Emergency visit, high (level 4) at Stoughton Hospital. CPT 99284.
What Stoughton Hospital publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$368cash price (self-pay)
$670list price
$3.37–$1,639range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz Medicaid | Quartz Medicaid | $41.07 |
| Tricare-All Plans | Tricare-All Plans | $263 |
| Healthnet Mcr Adv - All Plans | Healthnet Mcr Adv - All Plans | $289 |
| Dean Health Insurance Med Adv | Dean Health Insurance Med Adv | $310 |
| Security Health/First Health - All Plans | Security Health/First Healt | $310 |
| Quartz Mcr Adv | Quartz Mcr Adv | $310 |
| Humana Med Adv | Humana Med Adv | $321 |
| Aetna Mcare | Aetna Mcare | $328 |
| UHC Mcr Adv | UHC Mcr Adv | $455 |
| Alliance - All Plans | Alliance - All Plans | $613 |
| Dean Health Insurance EPO | Dean Health Insurance EPO | $668 |
| Quartz Health Solutions - All Other Lans | Quartz Health Solutions - A | $674 |
| Dean Health Insurance Comm - All Other Plans | Dean Health Insurance C | $788 |
| Wps - All Plans | Wps - All Plans | $821 |
| Anthem Blue Cross - All Plans | Anthem Blue Cross - All Plans | $903 |
| Geha - All Plans | Geha - All Plans | $934 |
| Cigna - All Plans | Cigna - All Plans | $996 |
| Wisconsin PPO Ppa Direct - All Plans | Wisconsin PPO Ppa Direct - All | $996 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $996 |
| Aetna-All Other Plans | Aetna-All Other Plans | $1,035 |
| Humana - All Other Plans | Humana - All Other Plans | $1,121 |
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