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.
Original text from hospital filings
HC ER Level IV
Utica, NY
See all hospitals reporting CPT 99284 →Price type
MVHS, Inc.’s median price of $521 is 17% below the median hospital's median price ($629), higher than 40% of the 2,555 hospitals reporting CPT 99284. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 32 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare uhc medicare advantage percent of total billed charges · inpatientfrom % of charges | $79.80 | $79.80 | $79.80 – $79.80 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $94.00 | $94.00 | $94.00 – $94.00 |
| 3 | Humana humana military fee schedule · inpatient | $107.35 | $107.35 | $107.35 – $107.35 |
| 4 | Tricare humana military fee schedule · inpatient | $107.35 | $107.35 | $107.35 – $107.35 |
| 5 | Humana choicecare fee schedule · both | $112.99 | $112.99 | $112.99 – $112.99 |
| 6 | Humana humana medicare advantage fee schedule · both | $112.99 | $112.99 | $112.99 – $112.99 |
| 7 | Aetna aetna medicare advantage fee schedule · both | $114.02 | $114.02 | $114.02 – $114.02 |
| 8 | Medicare medicare fee schedule · both | $114.02 | $114.02 | $114.02 – $114.02 |
| 9 | WellCare wellcare fee schedule · both | $117.44 | $117.44 | $117.44 – $117.44 |
| 10 | Blue Cross Blue Shield excellus bcbs federal fee schedule · both | $146.89 | $146.89 | $146.89 – $146.89 |
| 11 | Cigna mvp hmo/ppo fee schedule · both | $153.23 | $153.23 | $147.00 – $159.45 |
| 12 | Humana humana military other · outpatient | $478.70 | $478.70 | $478.70 – $478.70 |
| 13 | Tricare humana military other · outpatient | $478.70 | $478.70 | $478.70 – $478.70 |
| 14 | Excellus excellus bcbs medicare advantage other · outpatient | $520.86 | $520.86 | $520.86 – $520.86 |
| 15 | Humana humana medicare advantage other · outpatient | $520.86 | $520.86 | $520.86 – $520.86 |
| 16 | Medicare medicare other · outpatient | $520.86 | $520.86 | $520.86 – $520.86 |
| 17 | Optum vaccn optum other · outpatient | $520.86 | $520.86 | $520.86 – $520.86 |
| 18 | UnitedHealthcare uhc medicare advantage other · outpatient | $526.07 | $526.07 | $526.07 – $526.07 |
| 19 | Aetna aetna medicare advantage other · outpatient | $531.28 | $531.28 | $531.28 – $531.28 |
| 20 | WellCare wellcare medicare advantage other · outpatient | $536.49 | $536.49 | $536.49 – $536.49 |
| 21 | Excellus excellus bcbs medicaid percent of total billed charges · bothfrom % of charges | $701.72 | $701.72 | $701.72 – $701.72 |
| 22 | Bcbs Ny excellus bcbs indemnity case rate · both | $852.32 | $852.32 | $852.32 – $852.32 |
| 23 | Blue Cross Blue Shield excellus bcbs hmo/ppo case rate · both | $852.32 | $852.32 | $852.32 – $852.32 |
| 24 | Excellus excellus bcbs hmo/ppo case rate · both | $852.32 | $852.32 | $852.32 – $852.32 |
| 25 | Excellus excellus bcbs indemnity case rate · both | $852.32 | $852.32 | $852.32 – $852.32 |
Last updated: Aug 7, 2026
See Emergency department visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.