Emergency visit, high (level 4) at Emanuel Medical Center. CPT 99284.
What Emanuel Medical Center publishes for this service, straight from its standard-charges file, last updated February 25, 2026.
Outpatient / ER
$270cash price (self-pay)
$2,510list price
$180–$2,134range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | Medicare Advantage | $382 |
| Meritain | Commercial | $718 |
| Aetna HMO | HMO | $904 |
| CIGNA | Commercial | $1,038 |
| Health Smart | PPO | $1,076 |
| Humana | Commercial | $1,079 |
| Aetna POS & PPO | PPO | $1,148 |
| BCBS HIX | Commercial | $1,175 |
| Blue Cross HMO/POS | POS | $1,742 |
| Blue Cross Open Access | Open Access | $1,742 |
| UnitedHealthcare | Commercial | $2,134 |
Inpatient
$270cash price (self-pay)
$2,510list price
$1.00–$2,510range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna POS & PPO | PPO | $1.00 |
| Aetna HMO | HMO | $1.00 |
| BCBS HIX | Commercial | $36.42 |
| Blue Cross HMO/POS | POS | $70.00 |
| Blue Cross Open Access | Open Access | $70.00 |
| Meritain | Commercial | $718 |
| Health Smart | PPO | $1,076 |
| Humana | Commercial | $1,079 |
| UnitedHealthcare | Commercial | $2,510 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.