Doctor visits and therapy CPT 99284 Outpatient

Level 4 ER visit cost in Utica, NY

In Utica-Rome, NY, 3 hospitals list a cash price for emergency room visit, level 4 of 5, moderate-complexity problem: from $274.04 to $1,593.00, with a median of $449.32. The lowest listed price is at Little Falls Hospital — $175.28 less than the median here. Across New York, the median is $665.29 at 88 hospitals.

Cash prices at 3 facilities across 3 cities for code 99284, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 27, 2026; the hospital files themselves were last updated between Aug 11, 2026 and Aug 11, 2026.

Lowest$274.04Little Falls Hospital
Median$449.32half pay less
Highest$1,593.00in this market
Difference5.8×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Utica-Rome, NY.

median
Lowest $274.04Highest $1,593.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Little Falls Hospital lowest Little Falls, NY · (315) 823-5261 HC ER Visit Moderate Level $274.04 $1,014.96 $1,014.90–$925.06 73% —
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Ed level iv $449.32 $1,113.00 $94.00–$513.96 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Emergency dept visit $449.32 $1,113.00 $94.00–$513.96 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Ed level iv $449.32 $1,113.00 $94.00–$513.96 60% Aug 11, 2026
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Rome Memorial Hospital Rome, NY · (315) 338-7000 Emergency dept visit $449.32 $1,113.00 $94.00–$513.96 60% Aug 11, 2026
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Mvhs Utica, NY HC ER Level IV $1,593.00 $2,655.00 $94.00–$2,267.00 40% —
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Mvhs Utica, NY HC ER Level IV $1,593.00 $2,655.00 $94.00–$2,267.00 40% —
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Outpatient: lowest $274.04, median $449.32, highest $1,593.00 — a 5.8× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $293.06. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 3 of 3 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the fourth of five emergency department visit levels, used for a problem of moderate complexity, often one that needs several tests, imaging or medicines. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.

What the price covers

The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.

3 rows held back from this comparison

They are priced below $1 or below a tenth of the national median for code 99284 ($914.30). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Little Falls Hospital Little Falls, NYCAH PR Emergency Department Visit High/Urgent Severity $58.28 file
Mvhs Utica, NYEmergency Department Visit Moderate Mdm $88.20 file
Mvhs Utica, NYEmergency Department Visit Moderate Mdm $88.20 file