Emergency visit, high (level 4) at Franklin Hospital District. CPT 99284.
What Franklin Hospital District publishes for this service, straight from its standard-charges file, last updated December 1, 2025.
Outpatient / ER
$467cash price (self-pay)
$825list price
$0.01–$923range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare B IL J6 | Default | $116 |
| Cigna | Medicare Advantage | $243 |
| Health Alliance Medical Plans MCR Adv | Medicare Advantage | $243 |
| Medicare A IL J6 | Default | $243 |
| United Healthcare | Medicare Advantage | $243 |
| Wellcare Health Plan Inc MCR Adv | Medicare Advantage | $243 |
| Aetna | Medicare Advantage | $289 |
| Alliance Coal Health Plan | Default | $371 |
| United Healthcare | Default | $381 |
| Cigna | Default | $613 |
| Humana | Default | $618 |
| Health Alliance Medical Plans | Default | $660 |
| Healthlink HMO DOS gt 06302021 | HMO | $660 |
| Great West Healthcare IL | Default | $693 |
| Aetna | Default | $742 |
| Meritain | Default | $742 |
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