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Emergency visit, high (level 4) at University of Michigan Health-Sparrow Eaton. CPT 99284.

What University of Michigan Health-Sparrow Eaton publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$60.00cash price (self-pay)
$240list price
$11.00–$1,408range insurers pay
Insurance planNegotiated rate
Medicaid | Professional Facility$76.68
Medicare | Professional$116
Priority Health Medicaid | PPO$151
Blue Cross Complete Medicaid | PPO$151
McLaren Medicaid | PPO$151
Aetna Better Health | PPO$157
Molina Medicaid | PPO$166
Humana Medicare Advantage | PPO$190
HAP Medicare Advantage | PPO$190
McLaren Medicare Advantage | PPO$190
BCBS | Professional$192
BCBS | Professional Facility$192
Priority Health Medicare Advantage | PPO$192
Medicare | PPO$209
Covenant Advantage | PPO$209
MediGold | PPO$209
Senior Community Care | PPO$209
BCN Medicare Advantage | PPO$209
Medicare Plus Blue | PPO$209
Aetna Medicare Advantage | PPO$209
Medicaid | PPO$301
United Health Care | PPO$342
Blue Cross Blue Shield | PPO$401
Aetna | PPO$423
Cigna | PPO$435
Great West Healthcare | PPO$435
Cofinity | PPO$440
Humana | PPO$440
Health Alliance Plan | PPO$440
Asr | PPO$467
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All common services at University of Michigan Health-Sparrow Eaton