Emergency visit, high (level 4) at University of Michigan Health-Sparrow Clinton. CPT 99284.
What University of Michigan Health-Sparrow Clinton publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$60.00cash price (self-pay)
$240list price
$12.00–$1,317range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Professional Facility | $76.68 |
| Medicare | Professional | $116 |
| BCBS | Professional | $192 |
| BCBS | Professional Facility | $192 |
| Medicare | Part A & B | $195 |
| Covenant Advantage | HMO | $195 |
| Medigold | HMO | $195 |
| Senior Community Health | HMO | $195 |
| BCN Medicare Advantage | HMO | $195 |
| Medicare Plus Blue | HMO | $195 |
| Aetna Medicare Advantage | HMO | $195 |
| Humana Medicare Advantage | HMO | $204 |
| HAP Medicare Advantage | HMO | $204 |
| Mclaren Medicare Advantage | HMO | $204 |
| Priority Health Medicare Advantage | HMO | $207 |
| Medicaid | CAID | $301 |
| Priority Health Medicaid | HMO | $301 |
| Blue Cross CompleteMedicaid | HMO | $301 |
| MclarenMedicaid | HMO | $301 |
| AetnaMedicaid | HMO | $313 |
| MolinaMedicaid | HMO | $331 |
| Blue Cross Blue Shield | PPO | $389 |
| Aetna | PPO | $584 |
| Priority | PPO | $589 |
| United Health | PPO | $597 |
| Humana | PPO | $607 |
| Cigna | PPO | $617 |
| Great West Health | PPO | $617 |
| Cofinity | PPO | $631 |
| Mclaren Commercial | PPO | $635 |
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All common services at University of Michigan Health-Sparrow Clinton