Emergency visit, high (level 4) at HSHS Good Shepherd Hospital. CPT 99284.
What HSHS Good Shepherd Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$714cash price (self-pay)
$992list price
$248–$992range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare | $248 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $248 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $248 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $248 |
| Humana | Humana Medicare | $248 |
| Humana | Humana Medicare Advantage | $248 |
| United Healthcare | United Health Care Medicare | $248 |
| Molina Healthcare | Molina Medicare | $260 |
| Amish Community | Amish Community Discount | $278 |
| Amish Community | Plain Church Medical Group | $278 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $546 |
| Claim Doc | All Commercial Claim Doc | $620 |
| Hopetrust | All Commercial Hopetrust | $620 |
| Wellfirst | All Commercial Wellfirst | $634 |
| Aetna | All Commercial Aetna | $693 |
| First Health | All Commercial First Health Network | $732 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $791 |
| United Healthcare | All Commercial United Healthcare | $791 |
| Healthlink | All Commercial Healthlink | $827 |
| Healthlink | All Commercial Healthlink - PPO | $827 |
| Healthlink | Healthlink Casino Queen | $827 |
| Multiplan/Phcs | All Commercial Multiplan | $843 |
| Cigna | All Commercial Cigna | $883 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $893 |
| Provider Network Of America | All Commercial Provider Network Of Ameri | $893 |
| Consociate Group | All Commercial Consociate Group | $992 |
| Health Alliance Medical Plans | Health Alliance Kingery | $992 |
| Health Alliance Medical Plans | Health Alliance Market Place | $992 |
| Health Alliance Medical Plans | Health Alliance Medicare | $992 |
| Health Alliance Medical Plans | Health Alliance PPO | $992 |
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