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

What University of Michigan Health-Sparrow Lansing 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–$1,273range insurers pay
Insurance planNegotiated rate
Medicaid | Professional Facility$76.68
Medicare | Professional$116
BCBS | Professional$192
BCBS | Professional Facility$192
Medicaid | CAID$228
Priority Health Medicaid | HMO$228
Blue Cross Complete Medicaid | HMO$228
McLaren Medicaid | HMO$228
Aetna Medicaid | HMO$237
Molina Medicaid | HMO$251
Priority | PPO$319
McLaren Commercial | PPO$365
United Health Care | PPO$397
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
Aetna Medicare Advantage | HMO$426
Health Alliance Plan | PPO$435
Health Alliance Plan | HMO$435
Humana Medicare Advantage | HMO$447
Priority Health Medicare Advantage | HMO$447
HAP Medicare Advantage | HMO$447
McLaren Medicare Advantage | HMO$447
Blue Care Network | PPO$531
Blue Shield Blue Cross | PPO$531
Aetna | PPO$538
Asr | PPO$596
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All common services at University of Michigan Health-Sparrow Lansing