Emergency visit, high (level 4) at HSHS Holy Family Hospital. CPT 99284.
What HSHS Holy Family Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$893cash price (self-pay)
$1,240list price
$347–$1,240range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amish Community | Amish Community Discount | $347 |
| Amish Community | Plain Church Medical Group | $347 |
| Aetna | Aetna Medicare | $447 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Medicare | $447 |
| Blue Cross Blue Shield Of Illinois | BCBS IL Mmai | $447 |
| Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi | $447 |
| Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv | $447 |
| Humana | Humana Medicare | $447 |
| Humana | Humana Medicare Advantage | $447 |
| Live360 | Live360 Medicare Cost Plan | $447 |
| United Healthcare | United Health Care Medicare | $447 |
| Molina Healthcare | Molina Medicare | $470 |
| Wellfirst | All Commercial Wellfirst | $797 |
| Aetna | All Commercial Aetna | $870 |
| First Health | All Commercial First Health Network | $919 |
| Healthlink | All Commercial Healthlink | $935 |
| Healthlink | All Commercial Healthlink - PPO | $935 |
| Healthlink | Healthlink Casino Queen | $935 |
| Naphcare | All Commerical Naphcare | $961 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $984 |
| Cofinity | Cofinity | $1,054 |
| Multiplan/Phcs | All Commercial Multiplan | $1,054 |
| Cigna | All Commercial Cigna | $1,104 |
| Consociate Group | All Commercial Consociate Group | $1,116 |
| Provider Network Of America | All Commercial Provider Network Of Ameri | $1,116 |
| Claim Doc | All Commercial Claim Doc | $1,118 |
| Hopetrust | All Commercial Hopetrust | $1,118 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $1,240 |
| Health Alliance Medical Plans | Health Alliance Market Place | $1,240 |
| Health Alliance Medical Plans | Health Alliance Medicare | $1,240 |
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