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

What Potomac Valley Hospital publishes for this service, straight from its standard-charges file, last updated July 10, 2026.

Outpatient / ER

$139cash price (self-pay)
$337list price
$25.00–$25.00range insurers pay
Insurance planNegotiated rate
Highmark Wholecare PA Medicare Advantage | All Pla$25.00
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All common services at Potomac Valley Hospital