Price spread for CPT 99284: Hospital pricing ranges from $244 to $2,310. Compared with Medicare ($127), this is roughly 2x-18x.
What Is a ER Visit (High Severity)?
ER level 4 reflects high severity emergencies requiring complex urgent care decisions.
When Is It Ordered?
Doctors commonly order this for severe pain, major respiratory symptoms, chest symptoms, and high-risk acute conditions.
How Long Does It Take?
3-6 hours average.
How to Prepare
Call emergency services for life-threatening symptoms.
How to Save on a ER Visit Level 4
In true emergencies, get care first. Price review happens after stabilization.
- Request an itemized bill and review for coding or duplicate-charge issues.
- Ask about financial assistance or hardship policies.
- Negotiate unresolved balances with the billing office.
Hospital Prices for CPT 99284
Table below shows a sample of hospitals with reported prices for this procedure.
| Hospital | City | State | Cash Price | Negotiated | Gross Charge |
|---|---|---|---|---|---|
| BRISTOL HOSPITAL INCORPORATED | BRISTOL | CT | $21 | N/A | $74 |
| MOUNTAIN RIVER BIRTHING AND SURGERY CENTER LLC | BLACKFOOT | ID | $29 | $412 | $41 |
| AGH LAVEEN LLC | LAVEEN | AZ | N/A | $34 | $1,100 |
| ST LUKES METHODIST HOSPITAL | CEDAR RAPIDS | IA | N/A | N/A | $40 |
| TEMECULA VALLEY HOSPITAL, INC. | TEMECULA | CA | N/A | $47 | $7,295 |
| SWEDISHAMERICAN HOSPITAL | ROCKFORD | IL | $70 | $331 | $414 |
| UNIVERSITY OF TEXAS M D ANDERSON CANCER CENTER | HOUSTON | TX | N/A | $75 | $791 |
| PUNXSUTAWNEY AREA HOSPITAL INC | PUNXSUTAWNEY | PA | $91 | $337 | N/A |
| CULLMAN REGIONAL MEDICAL CENTER , INC. | CULLMAN | AL | $112 | $112 | $224 |
| D.W. MCMILLAN MEMORIAL HOSPITAL | BREWTON | AL | $112 | $112 | $224 |
| OCALA BEHAVIORAL HEALTH LLC | OCALA | FL | N/A | $119 | $2,700 |
| HOLLAND COMMUNITY HOSPITAL | HOLLAND | MI | $122 | $276 | $203 |
| ST. CLAIRE MEDICAL CENTER INC | MOREHEAD | KY | $135 | $150 | $180 |
| BAYHEALTH MEDICAL CENTER, INC | DOVER | DE | $135 | $114 | N/A |
| BAYHEALTH MEDICAL CENTER, INC | MILFORD | DE | $135 | $114 | $1,515 |
| QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL | KAMUELA | HI | $138 | $338 | $460 |
| MIAMI JEWISH HEALTH SYSTEMS INC | MIAMI | FL | $138 | $77 | $276 |
| FAYETTE MEDICAL CENTER | FAYETTE | AL | $139 | $93 | $232 |
| PROFESSIONAL RESOURCES MANAGEMENT PSYCHIATRIC SERVICES, LLC | LUVERNE | AL | $139 | $93 | $232 |
| AUBURN COMMUNITY HOSPITAL | AUBURN | NY | $141 | N/A | N/A |
| EAST CARROLL PARISH HOSPITAL | LAKE PROVIDENCE | LA | $151 | $109 | $202 |
| ANAHEIM GLOBAL MEDICAL CENTER INC | ANAHEIM | CA | $159 | N/A | $1,780 |
| PHOENIXVILLE HOSPITAL LLC | PHOENIXVILLE | PA | $167 | $656 | $669 |
| POTTSTOWN HOSPITAL LLC | POTTSTOWN | PA | $167 | $656 | $669 |
| GUADALUPE COUNTY HOSPITAL BOARD | SEGUIN | TX | $178 | $364 | $356 |
| SUSAN B ALLEN MEMORIAL HOSPITAL | EL DORADO | KS | $183 | $384 | $305 |
| PUBLIC HOSPITAL DISTRICT NO 2 SKAGIT COUNTY WASHINGTON | ANACORTES | WA | N/A | $186 | $232 |
| BRYAN HOSPITAL KEARNEY | KEARNEY | NE | $192 | $394 | $274 |
| TRI-CITY HOSPITAL | OCEANSIDE | CA | N/A | $207 | $228 |
| VICTOR VALLEY HOSPITAL ACQUISITION INC | VICTORVILLE | CA | N/A | N/A | $213 |
| WITHAM MEMORIAL HOSPITAL | LEBANON | IN | $216 | $287 | $309 |
| MORTON COUNTY HOSPITAL | ELKHART | KS | $218 | N/A | $2,523 |
| THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION | HASTINGS | NE | $221 | $231 | $245 |
| PHELPS COUNTY REGIONAL MEDICAL CENTER | ROLLA | MO | $244 | $252 | $271 |
| HOLY FAMILY MEMORIAL INC | MANITOWOC | WI | $258 | $352 | $460 |
| FLOYD CHEROKEE MEDICAL CENTER LLC | CENTRE | AL | $264 | N/A | $659 |
| THE BIBB COUNTY HEALTHCARE AUTHORITY | CENTREVILLE | AL | $264 | N/A | $659 |
| BARBARA ANN KARMANOS CANCER HOSPITAL | DETROIT | MI | $285 | $202 | $570 |
| HENRY HEYWOOD MEMORIAL HOSPITAL | GARDNER | MA | $288 | $1,775 | $412 |
| 2014 HEALTH LLC | DES PLAINES | IL | $295 | N/A | $369 |
| MARIN GENERAL HOSPITAL | GREENBRAE | CA | $296 | N/A | $159 |
| GENEVA COUNTY HEALTHCARE AUTHORITY INC | GENEVA | AL | $300 | $360 | $400 |
| OU MEDICINE INC | EDMOND | OK | $302 | $342 | $3,023 |
| POMERENE HOSPITAL | MILLERSBURG | OH | $323 | $372 | $404 |
| SILVER OAKS BEHAVIORAL, LLC | NEW LENOX | IL | $328 | $318 | $328 |
| WEST FLORIDA - PPH, LLC | SAINT PETERSBURG | FL | N/A | N/A | $336 |
| ARMSTRONG COUNTY MEMORIAL HOSPITAL | KITTANNING | PA | $346 | $224 | N/A |
| RUTGERS HEALTH - UNIVERSITY BEHAVIORAL HEALTH CARE | PISCATAWAY | NJ | $357 | $310 | $850 |
| COUNTY OF MONTEREY | SALINAS | CA | $358 | $142 | $358 |
| MONTROSE MEMORIAL HOSPITAL INC | MONTROSE | CO | $359 | $471 | $478 |
| UNIVERSITY OF KENTUCKY | LEXINGTON | KY | $365 | N/A | $100 |
| LUMINIS HEALTH ANNE ARUNDEL MEDICAL CENTER, INC | ANNAPOLIS | MD | $367 | $342 | $370 |
| MCLAREN MACOMB | MOUNT CLEMENS | MI | $369 | $135 | $738 |
| MCLAREN CENTRAL MICHIGAN | MOUNT PLEASANT | MI | $369 | $222 | $738 |
| PALMS WEST HOSPITAL LIMITED PARTNERSHIP | LOXAHATCHEE | FL | $378 | N/A | $194 |
| MCLAREN BAY SPECIAL CARE | BAY CITY | MI | $379 | $185 | $757 |
| ARISE HEALTHCARE SYSTEM, LLC | AUSTIN | TX | $392 | N/A | N/A |
| BATON ROUGE REHABILITATION HOSPITAL LLC | BATON ROUGE | LA | $392 | N/A | $603 |
| DOCTORS HOSPITAL OF SLIDELL LLC | SLIDELL | LA | $392 | N/A | $603 |
| SEASIDE HEALTH SYSTEM LLC | BATON ROUGE | LA | $392 | N/A | $603 |
| THIBODAUX REGIONAL HEALTH SYSTEM INC | THIBODAUX | LA | $392 | N/A | $603 |
| MCLAREN BAY REGION | BAY CITY | MI | $394 | $185 | $787 |
| DOCTORS MEMORIAL HOSPITAL INC | PERRY | FL | $396 | $481 | $660 |
| SOUTH BROWARD HOSPITAL DISTRICT | PEMBROKE PINES | FL | $396 | $481 | $660 |
| THE PAVILION AT HEALTHPARK LLC | FORT MYERS | FL | $396 | $481 | $660 |
| MARIANJOY REHABILITATION HOSPITAL & CLINICS INC | WHEATON | IL | N/A | N/A | $398 |
| COLUMBUS REGIONAL HEALTHCARE SYSTEM | WHITEVILLE | NC | $402 | $780 | N/A |
| STATE OF MISSISSIPPI- UNIVERSITY OF MISSISSIPPI MEDICAL CENTER | GRENADA | MS | $405 | $405 | $1,308 |
| MCLAREN OAKLAND | PONTIAC | MI | $410 | $222 | $820 |
| DEACONESS WOMENS HOSPITAL OF SOUTHERN INDIANA LLC | NEWBURGH | IN | $414 | $187 | $1,182 |
| SBH COLORADO LLC | COLORADO SPRINGS | CO | $416 | $354 | $416 |
| SONOMA SPECIALTY HOSPITAL, LLC | SEBASTOPOL | CA | $416 | $354 | $416 |
| DIGNITY COMMUNITY CARE | REDWOOD CITY | CA | N/A | $425 | N/A |
| SOUTH TEXAS ASC LLC | SAN ANTONIO | TX | $426 | $310 | $1,115 |
| BUCHANAN GENERAL HOSPITAL INC | GRUNDY | VA | $440 | $1 | $1,101 |
State-by-State Pricing for ER Visit Level 4
Explore where hospitals in each state report prices for CPT 99284.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Frequently Asked Questions
How much does a ER Visit Level 4 cost without insurance?
Based on published hospital data, ER Visit Level 4 prices typically range from $244 to $2,310. Always ask for the self-pay or cash rate before scheduling.
Why do ER Visit Level 4 prices vary so much by hospital?
Hospitals negotiate different payer contracts, apply different facility fees, and use different chargemaster pricing strategies. That creates large price gaps for the same CPT code.
What does Medicare pay for CPT 99284?
In this dataset, the Medicare facility reference is $127 for CPT 99284.
How can I lower my ER Visit Level 4 bill?
Compare multiple facilities, ask for the cash price up front, and request a written estimate with all facility and professional fees.
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