Emergency visit, high (level 4) at Advocate Lutheran General Hospital. CPT 99284.
What Advocate Lutheran General Hospital publishes for this service, straight from its standard-charges file, last updated November 4, 2025.
Outpatient / ER
$810cash price (self-pay)
$1,620list price
$638–$3,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $638 |
| Ambetter | Medicare Advantage | $644 |
| Molina | Medicare Advantage | $644 |
| Oscar Health HMO | Medicare Advantage | $666 |
| Cigna One Health | Commercial | $842 |
| HSTechnology | Medicare Advantage | $852 |
| Aetna | Commercial | $874 |
| Blue Cross Blue Shield Blue Precision | Managed Care | $1,178 |
| Blue Cross Blue Shield | HMO | $1,197 |
| Multiplan | Commercial | $1,296 |
| Blue Cross Blue Shield City of Chicago | Commercial | $1,386 |
| Private Healthcare Systems | Commercial | $1,442 |
| Blue Cross Blue Shield Choice | Commercial | $1,498 |
| Blue Cross Blue Shield | PPO | $1,577 |
| 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
$810cash price (self-pay)
$1,620list price
$708–$1,296range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $708 |
| Multiplan | Commercial | $1,296 |
| Private Healthcare Systems | Commercial | $1,296 |
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