Emergency visit, high (level 4) at University of Michigan Health-Sparrow Carson. CPT 99284.
What University of Michigan Health-Sparrow Carson publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$60.00cash price (self-pay)
$240list price
$76.68–$1,364range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Professional Facility | $76.68 |
| Medicare | Professional | $116 |
| BCBS | Professional | $192 |
| BCBS | Professional Facility | $192 |
| Medicaid | CAID | $223 |
| Priority Health Medicaid | HMO | $223 |
| Blue Cross Complete Medicaid | HMO | $223 |
| McLaren Medicaid | HMO | $223 |
| Aetna Medicaid | HMO | $232 |
| Molina Medicaid | HMO | $245 |
| Medicare | Part A & B | $426 |
| Covenant Advantage | HMO | $426 |
| MediGold | HMO | $426 |
| Senior Community Care | HMO | $426 |
| BCN Medicare Advantage | HMO | $426 |
| Medicare Plus Blue | HMO | $426 |
| HAP Medicare Advantage | HMO | $426 |
| Aetna Medicare Advantage | HMO | $426 |
| Humana Medicare Advantage | HMO | $448 |
| Priority Health Medicare Advantage | HMO | $448 |
| McLaren Medicare Advantage | HMO | $448 |
| Bcn | PPO | $531 |
| BCBS | PPO | $531 |
| Mclaren | PPO | $731 |
| United Health Care | PPO | $738 |
| Cigna | PPO | $762 |
| Great West Healthcare | PPO | $762 |
| Priority Health | PPO | $762 |
| Aetna | PPO | $770 |
| Asr | PPO | $770 |
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All common services at University of Michigan Health-Sparrow Carson