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Emergency visit, high (level 4) at HSHS St. Anthony's Memorial Hospital. CPT 99284.

What HSHS St. Anthony's Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.

Outpatient / ER

$1,144cash price (self-pay)
$1,589list price
$445–$1,589range insurers pay
Insurance planNegotiated rate
Amish Community | Amish Community Discount$445
Amish Community | Plain Church Medical Group$445
Aetna | Aetna Medicare$479
Blue Cross Blue Shield Of Illinois | BCBS IL Medicare$479
Blue Cross Blue Shield Of Illinois | BCBS IL Mmai$479
Blue Cross Blue Shield Of Illinois | Blue Cross Blue Shield Of Illinoi$479
Clear Spring Health Of Illinois | Clear Spring Health Medicare Adv$479
Health Partners | Health Partners Medicare$479
Humana | Humana Medicare$479
Sae Hospice | Sae Memorial Hospice$479
Molina Healthcare | Molina Medicare$501
Celtic Insurance Company | All Commercial Exchange Ambetter$984
Naphcare | All Commerical Naphcare$1,038
Aetna | Aetna Hshs$1,041
Aetna | All Commercial Aetna$1,119
Hopetrust | All Commercial Hopetrust$1,150
First Health | All Commercial First Health Network$1,182
Claim Doc | All Commercial Claim Doc$1,197
Healthlink | All Commercial Healthlink$1,263
Healthlink | All Commercial Healthlink - PPO$1,263
Healthlink | Healthlink Casino Queen$1,263
Cigna | All Commercial Cigna$1,271
Caterpillar, Inc. | UHC Caterpillar Employer Group$1,276
Consociate Group | All Commercial Consociate Group$1,398
Choicecare | All Commercial Choice Care$1,430
Healthcare Finest Network (Hfn) | All Commercial Hfn$1,430
Multiplan/Phcs | All Commercial Multiplan$1,430
Provider Network Of America | All Commercial Provider Network Of Ameri$1,430
Cigna | Cigna Behavioral Health$1,589
City Of Springfield | City Of Springfield Workcomp$1,589
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All common services at HSHS St. Anthony's Memorial Hospital