Emergency visit, high (level 4) at Carle Foundation Hospital. CPT 99284.
What Carle Foundation Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$2,027cash price (self-pay)
$2,027list price
$86.76–$1,723range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $86.76 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $89.36 |
| Meridian | Managed Medicaid | $203 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $447 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $447 |
| United Healthcare (UHC) | VA CCN/Optum | $447 |
| Aetna | Medicare Advantage HMO | $447 |
| Humana | Medicare Advantage | $447 |
| United Healthcare (UHC) | Medicare Advantage | $447 |
| Wellcare | Medicare Advantage HMO | $447 |
| Blue Cross Blue Shield | Medicare Advantage | $447 |
| Aetna | Medicare Advantage PPO | $456 |
| Molina | Managed Medicaid | $608 |
| Aetna | Commercial HMO | $973 |
| Community Partners Health Plan (CPHP) | PPO | $1,193 |
| United Healthcare (UHC) | PPO | $1,255 |
| Blue Cross Blue Shield | Blue Choice | $1,318 |
| Blue Cross Blue Shield | PPO | $1,318 |
| Aetna | Commercial PPO | $1,340 |
| Cigna | PPO | $1,581 |
| Multiplan/PHCS | PPO | $1,622 |
| Aetna (First Health) | PPO | $1,626 |
| HealthLink | PPO | $1,723 |
Inpatient
$2,027cash price (self-pay)
$2,027list price
$86.76–$1,723range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare-Medicaid (D-SNP) | $86.76 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $89.36 |
| Meridian | Managed Medicaid | $203 |
| Meridian | Medicare-Medicaid (MMAI/Dual) | $203 |
| Molina | Managed Medicaid | $608 |
| Molina | Medicare-Medicaid (MMAI/Dual) | $608 |
| Aetna | Commercial HMO | $973 |
| Multiplan/PHCS | PPO | $1,622 |
| Aetna (First Health) | PPO | $1,626 |
| HealthLink | PPO | $1,723 |
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