Emergency visit, high (level 4) at Blessing Hospital. CPT 99284.
What Blessing Hospital publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$379cash price (self-pay)
$631list price
$112–$505range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Commercial | $112 |
| Coventry (Aetna) | Commercial | $124 |
| Private Healthcare Systems-Multi Plan Primary | Commercial | $124 |
| Private Healthcare Systems-Multi Plan Complementary | Commercial | $124 |
| United Behavioral Health | Commercial | $131 |
| Blue Cross Blue Shield Pathways | Commercial | $135 |
| Blue Preferred | Commercial | $153 |
| Blue Access | Commercial | $173 |
| Health Link PPO | Commercial | $202 |
| Health Link | Managed Care | $202 |
| Blue Cross Blue Shield Illinois | Commercial | $234 |
| United Healthcare | Medicare Advantage | $301 |
| Humana | Commercial | $474 |
| Cigna | Commercial | $505 |
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