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

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

Outpatient / ER

$60.00cash price (self-pay)
$240list price
$0.59–$716range insurers pay
Insurance planNegotiated rate
Medicaid | Professional Facility$76.68
Medicare | Professional$116
Medicare | Part A&B$149
Covenant Advantage | Part A&B$149
MediGold | Part A&B$149
Senior Community Care | Part A&B$149
BCN Medicare Advantage | Part A&B$149
Medicare Plus Blue | Part A&B$149
Aetna Medicare Advantage | Part A&B$149
Humana Medicare Advantage | Part A&B$157
Priority Health Medicare Advantage | Part A&B$158
HAP Medicare Advantage | Part A&B$158
McLaren Medicare Advantage | Part A&B$158
BCBS | Professional$192
BCBS | Professional Facility$192
Priority | PPO$367
Blue Cross Blue Shield | PPO$375
Medicaid | CAID$426
Priority Health MediHMO | HMO$426
Blue Cross Complete Medicaid | HMO$426
McLaren Medicaid | HMO$426
Aetna Medicaid | HMO$448
United Health Care | PPO$458
Molina Medicaid | HMO$469
Cigna | PPO$473
Great West Healthcare | PPO$473
Asr | PPO$478
Health Alliance Plan | PPO$478
Health Alliance Plan | HMO$478
Blue Care Network | PPO$478
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All common services at University of Michigan Health-Sparrow Ionia