Emergency visit, high (level 4) at Carle BroMenn Medical Center. CPT 99284.
What Carle BroMenn Medical Center publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$1,337cash price (self-pay)
$1,337list price
$86.76–$1,003range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $86.76 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $89.36 |
| Molina | Managed Medicaid | $267 |
| United Healthcare (UHC) | Medicare Advantage | $447 |
| Aetna | Medicare Advantage | $447 |
| Blue Cross Blue Shield | Medicare Advantage | $447 |
| Meridian | Medicare-Medicaid (D-SNP) | $447 |
| United Healthcare (UHC) | VA CCN/Optum | $447 |
| Humana | Medicare Advantage | $447 |
| Molina | Medicare-Medicaid (D-SNP) | $447 |
| Wellcare | Medicare Advantage HMO | $447 |
| Aetna | Commercial | $758 |
| Community Partners Health Plan (CPHP) | PPO | $802 |
| Blue Cross Blue Shield | Blue Choice/Options/PPO | $822 |
| United Healthcare (UHC) | PPO | $825 |
| Cigna | PPO | $829 |
| Blue Cross Blue Shield | HMO | $829 |
| HealthLink | PPO | $869 |
| Aetna First Health PPO | PPO | $884 |
| Multiplan/PHCS | PPO | $1,003 |
Inpatient
$1,337cash price (self-pay)
$1,337list price
$86.76–$884range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $86.76 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $89.36 |
| Meridian | Medicare-Medicaid (D-SNP) | $134 |
| Molina | Managed Medicaid | $267 |
| Molina | Medicare-Medicaid (D-SNP) | $267 |
| HealthLink | PPO | $869 |
| Aetna First Health PPO | PPO | $884 |
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