Emergency visit, high (level 4) at MacNeal Hospital Gottlieb Community Health Services Corporation. CPT 99284.
What MacNeal Hospital Gottlieb Community Health Services Corporation publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
—cash price (self-pay)
$3,400list price
$76.35–$4,709range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS IL | PPO | $76.35 |
| BCBS IL | MMP/Duals | $413 |
| Aetna | Medicare Advantage | $444 |
| Aetna Better Health | MMP/Duals | $444 |
| VACCN United | Veterans Affairs | $444 |
| Humana | Medicare Advantage | $454 |
| Cigna | Medicare Advantage | $457 |
| Molina | Medicare Advantage | $466 |
| Wellcare | Medicare Advantage | $466 |
| Oscar IFP | Health Exchange | $488 |
| Humana | MMP/Duals | $502 |
| Meridian | MMP/Duals | $510 |
| Ambetter IFP | Health Exchange | $533 |
| Molina Marketplace IFP | Health Exchange | $555 |
| BCBS IL | Blue Choice | $603 |
| Self Pay | Self Pay | $646 |
| Humana | PPO | $674 |
| BCBS IL | Blue Precision | $701 |
| BCBS IL | HMO | $754 |
| Cigna | PPO | $1,391 |
| Aetna | ASA | $1,642 |
| UHC | Navigate Core | $1,987 |
| UHC | All Products | $2,118 |
| Aetna | FH-Medical Rental | $2,482 |
| Aetna | NAP | $2,710 |
| Aetna | Medicaid | $3,400 |
| Meridian | Medicaid | $3,400 |
| Molina | Medicaid | $3,400 |
Inpatient
—cash price (self-pay)
$3,400list price
$646–$4,709range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS IL | Blue Precision | $1,296 |
| BCBS IL | HMO | $1,296 |
| BCBS IL | PPO | $1,296 |
| BCBS IL | Blue Choice | $4,709 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at MacNeal Hospital Gottlieb Community Health Services Corporation