Emergency visit, high (level 4) at Decatur Memorial Hospital. CPT 99284.
What Decatur Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$1,904cash price (self-pay)
$2,079list price
$2.74–$4,828range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid | Illinois Medicaid | $220 |
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $265 |
| Aetna | Aetna Medicare Advantage | $281 |
| Blue Cross Blue Shield | BCBS Medicare Advantage | $281 |
| Coventry | Coventry Advantra Medicare Advantage | $281 |
| Health Alliance | Health Alliance Medicare Advantage | $281 |
| Humana | Humana Medicare Advantage | $281 |
| Medicare | Medicare | $281 |
| United HealthCare | United HealthCare Medicare Advantage | $281 |
| Veterans Administration | Veterans Administration | $281 |
| Tricare/Champus | Tricare/Champus | $285 |
| WellCare | WellCare Medicare Advantage PPO | $440 |
| UHC Va Ccn | UHC Va Ccn | $447 |
| HFN | HFN Workers Compensation | $477 |
| Commercial Workers Compensation | Commercial Workers Compensation | $483 |
| Illinois Workers Compensation | Illinois Workers Compensation | $644 |
| Mennonite Churches | Mennonite Churches | $894 |
| Plain Church Medical Group | Plain Church Medical Group | $935 |
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $956 |
| Cigna | Cigna PPO | $969 |
| Caterpillar | Caterpillar | $1,006 |
| Coventry | First Health | $1,087 |
| Health Alliance | Health Alliance Public Exchange | $1,210 |
| 6 Degrees Health | 6 Degrees Health | $1,247 |
| HopeTrust | HopeTrust | $1,247 |
| Hst | Hst | $1,247 |
| Healthlink | Healthlink PPO/HMO | $1,329 |
| Humana | Humana PPO | $1,351 |
| PHCS Savility | PHCS Savility | $1,351 |
| Health Alliance | Health Alliance | $1,382 |
Inpatient
$1,904cash price (self-pay)
$2,079list price
$876–$2,253range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $956 |
| 6 Degrees Health | 6 Degrees Health | $1,247 |
| HopeTrust | HopeTrust | $1,247 |
| Hst | Hst | $1,247 |
| PHCS MultiPlan PPO | PHCS MultiPlan PPO | $1,413 |
| BCBS Phai | BCBS Phai | $2,079 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $2,079 |
| Liability | Liability | $2,079 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.