Emergency visit, high (level 4) at Mon Health Preston Memorial Hospital. CPT 99284.
What Mon Health Preston Memorial Hospital publishes for this service, straight from its standard-charges file, last updated May 21, 2026.
Outpatient / ER
$392cash price (self-pay)
$784list price
$103–$760range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Unicare | Commercial | $103 |
| Advantra | Medicare | $470 |
| Aetna | Medicare | $470 |
| Blue_cross_highmark_medicare | Medicare | $470 |
| Health_plan_medicare | Medicare | $470 |
| Humana | Medicare | $470 |
| Uhc_va | Medicare | $470 |
| Upmc | Medicare | $494 |
| Health_plan_medicaid | Medicaid | $510 |
| Caresource_medicaid | Medicaid | $520 |
| Blue_cross_highmark_medicaid | Medicaid | $535 |
| Blue_cross_highmark_aca | Commercial | $570 |
| Blue_cross_highmark_pos | Commercial | $633 |
| Blue_cross_highmark_ppo | Commercial | $633 |
| Caresource_medicare | Medicare | $635 |
| Blue_cross_highmark_traditional | Commercial | $695 |
| AETNA_AUTO | commercial | $706 |
| Aetna_medical_rental | Commercial | $706 |
| UHC | Commercial | $706 |
| Cigna | Commercial | $721 |
| Geha | Commercial | $745 |
| 4_MOST | Commercial | $760 |
| Health | Commercial | $760 |
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