Emergency department visit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB ED Visit Level 4

Payers reporting CPT 99284

71 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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#
1	Aetna fee schedule · outpatient · +38 other terms	568	$453.17	$1,117	$1.00 – $18,486
2	UnitedHealthcare case rate · outpatient · +39 other terms	559	$2,111	$2,842	$138.00 – $25,609
3	Blue Cross Blue Shield fee schedule · outpatient · +39 other terms	410	$536.82	$1,057	$1.00 – $18,540
4	Humana fee schedule · outpatient · +37 other terms	373	$425.82	$505.95	$1.10 – $8,334
5	Cigna case rate · outpatient · +37 other terms	290	$3,143	$4,949	$0.62 – $37,310
6	Molina fee schedule · outpatient · +34 other terms	190	$432.24	$459.47	$1.05 – $2,901
7	WellCare fee schedule · outpatient · +29 other terms	188	$429.55	$431.76	$84.21 – $997.93
8	Oscar case rate · outpatient · +25 other terms	151	$2,233	$2,169	$665.82 – $4,183
9	Anthem fee schedule · outpatient · +35 other terms	150	$425.82	$424.30	$10.36 – $17,079
10	MultiPlan fee schedule · outpatient · +24 other terms	141	$2,091	$8,316	$1.00 – $37,310
11	Devoted facility · fee schedule · outpatient · +21 other terms	114	$404.81	$439.71	$50.58 – $4,906
12	Kaiser fee schedule · outpatient · +29 other terms	108	$760.60	$1,240	$53.83 – $15,873
13	Ambetter facility · fee schedule · outpatient · +25 other terms	95	$710.57	$747.31	$108.05 – $7,114
14	Tricare facility · fee schedule · outpatient · +23 other terms	92	$415.95	$645.72	$46.65 – $6,140
15	Highmark facility · fee schedule · outpatient · +26 other terms	88	$472.06	$544.53	$0.35 – $1,928
16	Optum fee schedule · outpatient · +29 other terms	61	$390.97	$620.05	$98.04 – $3,239
17	Medicaid facility · fee schedule · outpatient · +20 other terms	60	$375.96	$368.30	$73.00 – $713.73
18	Regence professional · fee schedule · outpatient · +25 other terms	60	$159.34	$164.79	$17.43 – $375.72
19	Caresource fee schedule · outpatient · +28 other terms	56	$415.69	$372.82	$1.08 – $1,281
20	Medica fee schedule · both · +28 other terms	56	$249.09	$283.13	$87.91 – $466.24
21	Medicare facility · fee schedule · outpatient · +22 other terms	54	$430.03	$847.56	$112.41 – $22,000
22	Healthcare Highways case rate · outpatient · +5 other terms	52	$2,920	$2,661	$1,524 – $3,542
23	Healthpartners fee schedule · both · +17 other terms	51	$206.86	$293.97	$110.18 – $620.26
24	First Health fee schedule · outpatient · +24 other terms	50	$1,414	$2,313	$114.62 – $18,084
25	Ucare professional · fee schedule · outpatient · +22 other terms	49	$104.78	$104.88	$12.27 – $193.29

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