Emergency visit, high (level 4) at Carle Richland Memorial Hospital. CPT 99284.
What Carle Richland Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 15, 2026.
Outpatient / ER
$1,722cash price (self-pay)
$1,722list price
$362–$1,464range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meridian | Medicare-Medicaid (D-SNP) | $362 |
| Molina | Medicare-Medicaid (D-SNP) | $362 |
| United Healthcare (UHC) | Medicare Advantage | $362 |
| Aetna | Medicare Advantage PPO | $362 |
| Aetna | Medicare Advantage HMO | $362 |
| Aetna Better Health | Medicare-Medicaid (D-SNP) | $362 |
| Blue Cross Blue Shield | Medicare Advantage | $362 |
| Wellcare | Medicare Advantage HMO | $362 |
| Humana | Medicare-Medicaid (D-SNP) | $362 |
| Humana | Medicare Advantage | $362 |
| Molina | Managed Medicaid | $517 |
| Aetna | Commercial HMO | $827 |
| Cigna | PPO | $1,068 |
| HealthLink | HMO | $1,119 |
| Blue Cross Blue Shield | PPO | $1,205 |
| HealthLink | PPO | $1,205 |
| Aetna | Commercial | $1,205 |
| United Healthcare (UHC) | PPO | $1,316 |
| Aetna First Health PPO | PPO | $1,436 |
| Multiplan/PHCS | PPO | $1,464 |
Inpatient
$1,722cash price (self-pay)
$1,722list price
$517–$1,498range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Managed Medicaid | $517 |
| Aetna | Commercial HMO | $827 |
| United Healthcare (UHC) | PPO | $1,316 |
| Aetna First Health PPO | PPO | $1,436 |
| Multiplan/PHCS | PPO | $1,498 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.