Emergency visit, high (level 4) at Clay County Hospital. CPT 99284.
What Clay County Hospital publishes for this service, straight from its standard-charges file, last updated May 7, 2026.
Outpatient / ER
$1,308cash price (self-pay)
$1,308list price
$106–$1,243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $238 |
| Aetna Better Health | Dual Medicare/Medicaid MMAI | $353 |
| Ambetter | All Ambetter ACA Exchange Plans | $353 |
| Medica(WellFirst) | Medicare Advantage | $353 |
| Meridian | Dual Medicare/Medicaid MMAI | $353 |
| UnitedHealthcare | VA/Community Care | $353 |
| WellCare | Medicare Advantage | $353 |
| Blue Cross Blue Shield of Illinois | Blue Choice PPO | $545 |
| Blue Cross Blue Shield of Illinois | PPO | $561 |
| UnitedHealthcare | HMO/PPO | $576 |
| Medica(WellFirst) | All Commercial/HMO/PPO | $811 |
| HealthLink | HMO/Open Access/POS | $850 |
| Aetna | All Commercial/HMO/PPO | $1,033 |
| Cigna | All Commercial/HMO/PPO | $1,046 |
| HealthLink | PPO | $1,046 |
| USA MCO | Commercial PPO | $1,243 |
Inpatient
$1,308cash price (self-pay)
$1,308list price
$811–$1,243range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica(WellFirst) | All Commercial/HMO/PPO | $811 |
| HealthLink | HMO/Open Access/POS | $850 |
| Cigna | All Commercial/HMO/PPO | $1,046 |
| HealthLink | PPO | $1,046 |
| UnitedHealthcare | HMO/PPO | $1,046 |
| USA MCO | Commercial PPO | $1,243 |
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