Emergency visit, high (level 4) at HSHS St. Mary's Hospital. CPT 99284.
What HSHS St. Mary's Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1,221cash price (self-pay)
$1,696list price
$447–$1,696range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| 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 |
| Coventry | Coventry Medicare Advantra | $447 |
| Humana | Humana Medicare | $447 |
| United Healthcare | United Health Care Medicare | $447 |
| Molina Healthcare | Molina Medicare | $470 |
| Amish Community | Amish Community Discount | $475 |
| Amish Community | Plain Church Medical Group | $475 |
| Aetna | All Commercial Aetna | $617 |
| Aetna | Aetna Hshs | $933 |
| Celtic Insurance Company | All Commercial Exchange Ambetter | $984 |
| Current Health Solutions | All Commercial Current Health Solutions | $1,018 |
| Cigna | All Commercial Cigna | $1,035 |
| Claim Doc | All Commercial Claim Doc | $1,118 |
| Hopetrust | All Commercial Hopetrust | $1,118 |
| Choicecare | All Commercial Choice Care | $1,187 |
| Consociate Group | All Commercial Consociate Group | $1,187 |
| First Health | All Commercial First Health Network | $1,253 |
| Healthlink | All Commercial Healthlink | $1,340 |
| Healthlink | All Commercial Healthlink - PPO | $1,340 |
| Cigna | Cigna Behavioral Health | $1,357 |
| Multiplan/Phcs | All Commercial Multiplan | $1,357 |
| Healthcare Finest Network (Hfn) | All Commercial Hfn | $1,442 |
| Provider Network Of America | All Commercial Provider Network Of Ameri | $1,526 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $1,696 |
| City Of Springfield | City Of Springfield Workcomp | $1,696 |
| Health Alliance Medical Plans | Health Alliance Kingery | $1,696 |
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