Emergency visit, high (level 4) at Ferrell Hospital Community Foundation. CPT 99284.
What Ferrell Hospital Community Foundation publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$428cash price (self-pay)
$582list price
$83.69–$533range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health (Illinicare) | Managed Medicaid | $83.69 |
| Blue Cross Blue Shield of Illinois | Managed Medicaid | $83.69 |
| Meridian Health Plan | Managed Medicaid | $83.69 |
| Molina Healthcare of Illinois | Managed Medicaid | $83.69 |
| Aetna | HMO/PPO/First Health | $121 |
| Aetna | Medicare Advantage | $262 |
| Blue Cross Blue Shield of Illinois | Dual Medicare-Medicaid/DSNP | $262 |
| Blue Cross Blue Shield of Illinois | Medicare Advantage | $262 |
| Humana | Dual Medicare-Medicaid/DSNP | $262 |
| Humana | Medicare Advantage | $262 |
| Wellcare Meridian Dual Align | Dual Medicare-Medicaid/DSNP | $262 |
| Molina Medicare Complete Care Plus | Dual Medicare-Medicaid/DSNP | $262 |
| Molina Medicare Complete Care Plus | Medicare Advantage | $262 |
| United Healthcare | VA CCN | $262 |
| WellCare | Medicare Advantage | $262 |
| Wellcare Meridian Dual Align | Medicare Advantage | $262 |
| Ambetter | Commercial | $262 |
| Aetna | Medicare FIDE | $266 |
| United Healthcare | Medicare Advantage | $266 |
| Cigna | HMO/PPO | $304 |
| Blue Cross Blue Shield of Illinois | PPO | $315 |
| HOPE Trust | Commercial | $442 |
| PHP/Rubicon Health | Medicare Advantage | $458 |
| MultiPlan/PHCS | PPO | $465 |
| Zelis (HFN) | HMO/PPO | $465 |
| HealthLink | HMO | $474 |
| Healthsmart (IHG) | PPI/PPO | $479 |
| Sagamore | Commercial | $485 |
| United Healthcare | HMO/PPO | $503 |
| HealthLink | PPO | $503 |
Inpatient
$444cash price (self-pay)
$592list price
$474–$533range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | HMO/PPO/First Health | $474 |
| Cigna | HMO/PPO | $474 |
| Healthsmart (IHG) | PPI/PPO | $474 |
| HOPE Trust | Commercial | $474 |
| MultiPlan/PHCS | PPO | $474 |
| Zelis (HFN) | HMO/PPO | $474 |
| Sagamore | Commercial | $485 |
| Corvel | PPO | $533 |
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All common services at Ferrell Hospital Community Foundation