Emergency visit, high (level 4) at Hamilton Memorial Hospital District. CPT 99284.
What Hamilton Memorial Hospital District publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$346cash price (self-pay)
$459list price
$81.43–$507range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health | HealthChoice/Illinois Medicaid | $81.43 |
| Blue Cross Blue Shield of Illinois | HealthChoice/Illinois Medicaid | $81.43 |
| Meridian Health | HealthChoice/Illinois Medicaid | $81.43 |
| Molina Healhcare of Illinois Medicaid | HealthChoice/Illinois Medicaid | $81.43 |
| United Healthcare Medicare Advantage | Medicare Advantage | $124 |
| Meridian Medicare-Medicaid | MeridianComplete DSNP | $161 |
| Blue Cross Blue Shield of Illinois | Blue Cross Community DSNP | $163 |
| Blue Cross Blue Shield of Illinois | Medicare Advantage HMO and PPO | $168 |
| Health Alliance | Medicare Advantage | $168 |
| Molina Medicare Medicaid | Molina Dual Options DSNP | $168 |
| WellCare | Medicare Advantage HMO and PPO | $168 |
| Wellfirst (SSMHIC) Medicare Advantage | Medicare Advantage | $168 |
| United Healthcare VA CCN | VA Community Care Network | $168 |
| Aetna | Medicare Advantage | $170 |
| Aetna Better Health | Dual Medicare/Medicaid Premier Plan DSNP | $213 |
| Humana | Medicare Advantage | $213 |
| Humana Medicare Medicaid | Humana Gold Integrated Plus DSNP | $213 |
| Alliance Coal | Alliance Coal Group Health | $252 |
| HOPE Trust | Commercial | $324 |
| Multiplan | PPO | $350 |
| HFN, Inc | HFN-20 | $367 |
| Healthscope | Commercial | $373 |
| WellFirst (SSMHIC) | Commercial | $373 |
| UnitedHealthcare | HMO and PPO | $382 |
| HFN, Inc | HFN-10 | $413 |
| Three Rivers Provider | PPO | $413 |
| Cigna | HMO and PPO | $419 |
| Health Alliance | HMO,PPO, and Exchange | $427 |
| Stratose | PPO | $436 |
| HealthLink | HMO | $453 |
Inpatient
$427cash price (self-pay)
$533list price
$373–$507range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WellFirst (SSMHIC) | Commercial | $373 |
| HOPE Trust | Commercial | $400 |
| HFN, Inc | HFN-20 | $427 |
| Aetna | HMO, PPO | $453 |
| Multiplan | PPO | $453 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $459 |
| Aetna | First Health PPO | $480 |
| HFN, Inc | HFN-10 | $480 |
| Siho | PPO | $480 |
| Three Rivers Provider | PPO | $480 |
| Blue Cross Blue Shield of Illinois | Traditional and PPO | $485 |
| Healthsmart | PPO | $507 |
| Stratose | PPO | $507 |
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