Emergency visit, high (level 4) at Ann & Robert H. Lurie Children's Hospital of Chicago. CPT 99284.
What Ann & Robert H. Lurie Children's Hospital of Chicago publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,552cash price (self-pay)
$3,645list price
$620–$4,250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | BCBS HMO | $1,015 |
| UnitedHealthcare | UnitedHealthcare Navigate | $1,333 |
| MercyCare Health | MercyCare Health - HMO/PPO | $1,349 |
| La Rabida Childrens Hospital | La Rabida Childrens Hospital | $1,823 |
| Cigna | Cigna C-5 | $2,100 |
| Centegra | Centegra | $2,187 |
| Blue Cross Blue Shield | Northshore Physician Associates | $2,369 |
| Advanced Physicians Association IPA | Advanced Physicians Association | $2,552 |
| Methodist First Choice | Methodist First Choice | $2,552 |
| Presence Health Partners | Presence Health Partners - Family Med Netwo | $2,552 |
| St. Francis | St. Francis - IPA | $2,552 |
| Blue Cross Blue Shield | Lake County Physician Association | $2,552 |
| UI Health | UI Health | $2,552 |
| Blue Cross Blue Shield | Illinois Health Partners | $2,552 |
| Swedish Covenant Physician Partners | Swedish Covenant Physician Partn | $2,734 |
| Shriners Hospital | Shriners Hospital | $2,734 |
| Health Smart | Health Smart Preferred Care | $2,916 |
| Macneal Health | Macneal Health | $2,916 |
| Blue Cross Blue Shield | Sherman Choice - PHO | $2,916 |
| Magellan | Magellan Behavioral Health | $2,916 |
| Health Alliance | Health Alliance - PPO | $2,916 |
| American Psych Systems | American Psych Systems | $2,916 |
| Healthlink Inc. | Healthlink Inc. | $3,007 |
| HFN Inc | HFN - EPO | $3,098 |
| Humana | Humana | $3,098 |
| Cofinity | Cofinity | $3,098 |
| Healthstar | Healthstar - PPO Next | $3,208 |
| First Health | First Health | $3,208 |
| Security Health Plan | Security Health Plan - HMO | $3,281 |
| Swedish American | Swedish American | $3,281 |
Inpatient
$2,552cash price (self-pay)
$3,645list price
$900–$3,678range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MercyCare Health | MercyCare Health - HMO/PPO | $1,349 |
| Cigna | Cigna Local Plus | $1,531 |
| Aetna | Aetna Northwestern | $1,823 |
| Aetna | Aetna Illinois Preferred | $1,932 |
| Cigna | Cigna C-5 | $2,100 |
| Independent Physicians at Mercy | Independent Physicians at Mercy | $2,187 |
| Blue Cross Blue Shield | Northwestern Medicine Physician Network IPA | $2,187 |
| Blue Cross Blue Shield | Dupage Medical Group | $2,187 |
| Blue Cross Blue Shield | Northshore Physician Associates | $2,369 |
| West Suburban Health Providers | West Suburban Health Providers | $2,552 |
| Blue Cross Blue Shield | Lake County Physician Association | $2,552 |
| Blue Cross Blue Shield | Illinois Health Partners | $2,552 |
| St. Francis | St. Francis - IPA | $2,552 |
| Northwest Community Healthcare | Northwest Community Healthcare | $2,552 |
| Cigna | Cigna | $2,588 |
| Medicare | Medicare | $2,656 |
| Shriners Hospital | Shriners Hospital | $2,734 |
| Blue Cross Blue Shield | Sherman Choice - PHO | $2,916 |
| Health Alliance | Health Alliance - PPO | $2,916 |
| Macneal Health | Macneal Health | $2,916 |
| American Psych Systems | American Psych Systems | $2,916 |
| Healthlink Inc. | Healthlink Inc. | $3,007 |
| St. Elizabeth | St. Elizabeth - PHO | $3,098 |
| Humana | Humana National POS | $3,098 |
| Cofinity | Cofinity | $3,098 |
| Principal Healthcare | Principal Healthcare - PPO | $3,098 |
| Humana | Humana | $3,098 |
| First Health | First Health | $3,208 |
| Preferred Health Network | Preferred Health Network - PPO | $3,208 |
| Healthstar | Healthstar - PPO Next | $3,208 |
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All common services at Ann & Robert H. Lurie Children's Hospital of Chicago