CPT 99284
Emergency DepartmentEmergency room visit for a serious condition requiring urgent attention
$225
Federal baseline rate
$800 - $3,500
Typical facility range
$600 - $2,000
Outpatient/clinic range
Official Description
Emergency department visit, high severity
Common Billing Errors
Watch for these issues when reviewing your bill
- Upcoded from 99283
- Used for conditions that weren't truly urgent
- Double-billed with observation services
What to Look For
Tips for reviewing this charge on your bill
- Verify condition required urgent evaluation
- Check documentation supports high severity
- Review if 99283 would have been more appropriate
How to Dispute This Charge
- 1
Request an Itemized Bill
Ask your provider for a detailed bill showing all CPT codes and individual charges.
- 2
Compare to Typical Costs
Check if your charge falls within the typical range. Excessive charges may be negotiable.
- 3
Check for Errors
Review the common billing errors listed above and verify the service was actually performed.
- 4
Generate a Dispute Letter
Use our free tool to create a professional dispute letter citing specific concerns.
Quick Facts
Category
Emergency Department
CPT Code
99284
Medicare Rate
$225
Related CPT Codes
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