Emergency visit, high (level 4) at Saint Francis Hospital. CPT 99284.
What Saint Francis Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$40.48cash price (self-pay)
$253list price
$12.27–$2,131range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerihealth Caritas Medicaid | Amerihealth Caritas Medicaid | $342 |
| Blue Cross - Pa (Independence) Medicare Advantage | Independence Blue | $444 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $455 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $470 |
| Blue Care Network | Highmark BCBS | $797 |
| Blue Cross - Tn | Highmark BCBS | $797 |
| Blue Cross - Sc | Highmark BCBS | $797 |
| Blue Shield - Pa (Highmark) | Highmark BCBS | $797 |
| Blue Cross - Ri | Highmark BCBS | $797 |
| Blue Cross - Federal | Highmark BCBS | $797 |
| Blue Cross - Wy | Highmark BCBS | $797 |
| Blue Cross - Wv (Highmark) | Highmark BCBS | $797 |
| Blue Shield - Wa (Regence) | Highmark BCBS | $797 |
| Blue Cross - Wa (Premera) | Highmark BCBS | $797 |
| Blue Cross - Va (Carefirst) | Highmark BCBS | $797 |
| Blue Shield - CA | Highmark BCBS | $797 |
| Blue Cross - Ar | Highmark BCBS | $797 |
| Blue Shield - NY Highmark Northeastern | Highmark BCBS | $797 |
| Blue Shield - NY Highmark Western | Highmark BCBS | $797 |
| Blue Cross - Nc | Highmark BCBS | $797 |
| Blue Cross - Pa (Capital) | Highmark BCBS | $797 |
| Blue Cross - Ok | Highmark BCBS | $797 |
| Blue Cross - Vt | Highmark BCBS | $797 |
| Blue Cross - Ut (Regence) | Highmark BCBS | $797 |
| Blue Cross - TX | Highmark BCBS | $797 |
| Blue Cross - Va (Anthem) | Highmark BCBS | $797 |
| Blue Cross - MA | Highmark BCBS | $797 |
| Blue Cross - IL Alternate | Highmark BCBS | $797 |
| Blue Cross - Al | Highmark BCBS | $797 |
| Blue Cross - NY (Excellus) | Highmark BCBS | $797 |
Inpatient
$245cash price (self-pay)
$245list price
$76.68–$239range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Highmark Wholecare Medicaid | Medicaid | $114 |
| Health New England Medicaid Advantage | Medicaid | $114 |
| Massachusetts Behavioral Health Partnership | Medicaid | $114 |
| Illinicare Health Medicaid Advantage | Medicaid | $114 |
| Huron Valley Pace Medicaid | Medicaid | $114 |
| Medstar Dc Healthy Family | Medicaid | $114 |
| Paramount Advantage | Medicaid | $114 |
| Cmh Muskegon County | Medicaid | $114 |
| South Country Health Alliance Medicaid | Medicaid | $114 |
| Cmh Cass County | Medicaid | $114 |
| Maryland Healthy Smiles - Scion Dental | Medicaid | $114 |
| Medicaid - Al | Medicaid | $114 |
| Medicaid - Ak | Medicaid | $114 |
| Medicaid - Az | Medicaid | $114 |
| Medicaid - Ar | Medicaid | $114 |
| Molina Medicare Advantage | Medicare | $115 |
| Rx Allwin | Medicare | $115 |
| Blue Cross - Wi (Anthem) Medicare Advantage | Medicare | $115 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $115 |
| Humana Medicare Advantage | Humana Medicare Advantage | $115 |
| Icare Medicare Advantage | Medicare | $115 |
| Hap Medicare Advantage | Medicare | $115 |
| Medical Mutual Medicare | Medicare | $115 |
| Caresource Medicare | Medicare | $115 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Medicare | $115 |
| Meridian Complete | Medicare | $115 |
| The Health Plan | Medicare | $115 |
| Peak Pace Solutions | Medicare | $115 |
| Osu Prime Care Advantage | Medicare | $115 |
| Medigold Medicare Advantage | Medicare | $115 |
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