Emergency visit, high (level 4) at Holy Cross Hospital. CPT 99284.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated September 22, 2026.
Outpatient / ER
$190cash price (self-pay)
$2,044list price
$122–$5,722range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lawndale Christian - All Plans | Lawndale Christian - All Plans | $443 |
| Rush Hlth - All Plans | Rush Hlth - All Plans | $521 |
| BCBS HMO | BCBS HMO | $618 |
| BCBS Blue Choice | BCBS Blue Choice | $632 |
| BCBS PPO - All Other Plans | BCBS PPO - All Other Plans | $678 |
| Compsych Ip/Op Only - All Plans | Compsych Ip/Op Only - All Plans | $695 |
| Healthlink HMO | Healthlink HMO | $753 |
| Healthlink PPO - All Other Plans | Healthlink PPO - All Other Plans | $811 |
| Multiplan Primary Ntwrk/Phcs - All Other Plans | Multiplan Primary Ntw | $811 |
| Hfn EPO | Hfn EPO | $868 |
| Multiplan Complementary Ntwrk | Multiplan Complementary Ntwrk | $926 |
| Hfn PPO - All Other Plans | Hfn PPO - All Other Plans | $1,007 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,023 |
| Esperanza Pace 7/1/25 - All Plans | Esperanza Pace 7/1/25 - All Plans | $1,100 |
| Va Healthnet - All Plans | Va Healthnet - All Plans | $1,123 |
| Cigna Comm Ip/Op Only - All Other Plans | Cigna Comm Ip/Op Only - All | $1,151 |
| Advocate Physician Prtnrs Mcr | Advocate Physician Prtnrs Mcr | $1,158 |
| BCBS Mcr Adv HMO/PPO | BCBS Mcr Adv HMO/PPO | $1,158 |
| Meridian/Harmony D-Snp - All Plans | Meridian/Harmony D-Snp - All Plan | $1,158 |
| Oak Street Hlth Mcr Adv - All Plans | Oak Street Hlth Mcr Adv - All Pl | $1,158 |
| Brighthealth Mcr Adv | Brighthealth Mcr Adv | $1,158 |
| Molina Mcr | Molina Mcr | $1,181 |
| Zing Mcr Adv - All Plans | Zing Mcr Adv - All Plans | $1,204 |
| Ach Access Comunty Hlth Mcr Op/Pf Only | Ach Access Comunty Hlth Mcr O | $1,216 |
| Centene/Celtic - All Plans | Centene/Celtic - All Plans | $1,216 |
| Ach Access Comunty Hlth Comm Op/Pf Only - All Othe | Ach Access Comunt | $1,274 |
| Advocate Physician Prtnrs - All Other Plans | Advocate Physician Prtnr | $1,274 |
| Ambetter Marketplace - All Plans | Ambetter Marketplace - All Plans | $1,343 |
| Cigna Ifp Ip/Op Only | Cigna Ifp Ip/Op Only | $1,444 |
| Molina Marketplace - All Other Plans | Molina Marketplace - All Other | $1,563 |
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