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

What Boone Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 7, 2026.

Outpatient / ER

$113cash price (self-pay)
$184list price
$48.30–$665range insurers pay
Insurance planNegotiated rate
Medicaid West Virginia UNISYS | Default$55.20
Medicare B WV JM | Default$119
Humana Advantage Care Plans Med Advantage | Medicare Advantage$137
Medicare A WV JM | Default$137
Cigna | Default$137
Aetna Medicare Advantage | Default$140
Blue Cross Blue Shield of WV Highmark | Default$140
Aetna | Default$175
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All common services at Boone Memorial Hospital