Emergency visit, high (level 4) at Hammond-henry Hospital. CPT 99284.
What Hammond-henry Hospital publishes for this service, straight from its standard-charges file, last updated January 22, 2026.
Outpatient / ER
$527cash price (self-pay)
$585list price
$49.00–$854range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna-All Plans | Cigna-All Plans | $49.00 |
| Multiplan Phcs Adult | Multiplan Phcs Adult | $90.00 |
| Multiplan Phcs Pediatric | Multiplan Phcs Pediatric | $90.00 |
| Tricare-All Plans | Tricare-All Plans | $111 |
| Aetna Mcare Advan | Aetna Mcare Advan | $124 |
| Health Alliance Mcare Adv | Health Alliance Mcare Adv | $124 |
| Humana Mcare Adv | Humana Mcare Adv | $124 |
| United Healthcare Mcare Adv | United Healthcare Mcare Adv | $124 |
| United Healthcare-All Other Plans | United Healthcare-All Other Plans | $126 |
| BCBS PPO | BCBS PPO | $130 |
| BCBS Traditional-All Other Plans | BCBS Traditional-All Other Plans | $130 |
| BCBS Blue Choice | BCBS Blue Choice | $130 |
| Quad City Community Hc-All Plans | Quad City Community Hc-All Plans | $137 |
| Health Alliance-All Other Plans | Health Alliance-All Other Plans | $161 |
| Multiplan Pponext | Multiplan Pponext | $167 |
| Springfield Armory-All Plans | Springfield Armory-All Plans | $185 |
| Ambetter-All Plans | Ambetter-All Plans | $185 |
| Wellmark Of Ia-All Plans | Wellmark Of Ia-All Plans | $188 |
| Multiplan-All Other Plans | Multiplan-All Other Plans | $247 |
| Aetna First Health | Aetna First Health | $439 |
| Multiplan Integrated Hp | Multiplan Integrated Hp | $439 |
| OSF Direct Access Network-All Plans | OSF Direct Access Network-All Pl | $468 |
| Multiplan Beech Street | Multiplan Beech Street | $527 |
| Usa Mco-All Plans | Usa Mco-All Plans | $527 |
| Corvel-All Plans | Corvel-All Plans | $527 |
| Hfn-All Plans | Hfn-All Plans | $527 |
| Meridian Health Plan-All Plans | Meridian Health Plan-All Plans | $585 |
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $585 |
| BCBS Medicaid | BCBS Medicaid | $585 |
| Aetna-All Other Plans | Aetna-All Other Plans | $664 |
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