Emergency visit, high (level 4) at University of Michigan Health-Sparrow St. Lawrence. CPT 99284.
What University of Michigan Health-Sparrow St. Lawrence 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 plan | Negotiated 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 St. Lawrence