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Emergency visit, high (level 4) at Advocate Good Shepherd Hospital. CPT 99284.

What Advocate Good Shepherd Hospital publishes for this service, straight from its standard-charges file, last updated November 4, 2025.

Outpatient / ER

$805cash price (self-pay)
$1,610list price
$634–$3,426range insurers pay
Insurance planNegotiated rate
Advocate Employee | Commercial$634
Ambetter | Medicare Advantage$644
Molina | Medicare Advantage$644
Oscar Health HMO | Medicare Advantage$666
Cigna One Health | Commercial$837
HSTechnology | Medicare Advantage$852
Aetna | Commercial$869
Blue Cross Blue Shield Blue Precision | Managed Care$1,253
Blue Cross Blue Shield | HMO$1,275
Multiplan | Commercial$1,288
Private Healthcare Systems | Commercial$1,288
Blue Cross Blue Shield City of Chicago | Commercial$1,408
Blue Cross Blue Shield Choice | Commercial$1,522
Blue Cross Blue Shield | PPO$1,603
United Healthcare Charter | Commercial$1,733
United Healthcare Nexus | Commercial$2,008
United Healthcare Core Navigate | Commercial$2,960
Cigna | Commercial$3,263
United Healthcare | HMO$3,426

Inpatient

$805cash price (self-pay)
$1,610list price
$704–$1,288range insurers pay
Insurance planNegotiated rate
Advocate Employee | Commercial$704
Private Healthcare Systems | Commercial$869
Multiplan | Commercial$1,288
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All common services at Advocate Good Shepherd Hospital