Emergency visit, high (level 4) at Graham Hospital. CPT 99284.
What Graham Hospital publishes for this service, straight from its standard-charges file, last updated May 13, 2026.
Outpatient / ER
—cash price (self-pay)
$180list price
$73.32–$2,756range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicare PPO/HMO Cah | Humana Medicare PPO/HMO Cah | $73.32 |
| Aetna | Aetna | $106 |
| Health Alliance Medical Plans | Health Alliance Medical Plans | $106 |
| Humana Claims HMO | Humana Claims HMO | $117 |
| Humana Claims PPO | Humana Claims PPO | $117 |
| Healthlink | Healthlink | $126 |
| United Healthcare Mcare | United Healthcare Mcare | $133 |
| United Healthcare | United Healthcare | $146 |
| Blue Cross Public Aid | Blue Cross Public Aid | $148 |
| Blue Cross Of IL (Bci) | Blue Cross Of IL (Bci) | $162 |
| Blue Cross Of IL (Ghs) | Blue Cross Of IL (Ghs) | $164 |
| Blue Cross-Other | Blue Cross-Other | $169 |
| Caterpillar Blue Cross | Caterpillar Blue Cross | $1,431 |
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