Emergency visit, high (level 4) at Midwest Medical Center. CPT 99284.
What Midwest Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$806cash price (self-pay)
$886list price
$504–$842range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medical Associates | Health Plan of Wisconsin MAHP | $504 |
| UHC | Commercial | $567 |
| Employer Health Care | Alliance Cooperative | $572 |
| Medical Associates | MAHP | $576 |
| Health Alliance Medical Plans Inc | Medicare Plans | $620 |
| Humana | Medicare Advantage | $620 |
| Humana | Commercial Services | $620 |
| Quartz Health Solutions Inc | Senior Preferred | $620 |
| Quartz Health Solutions Inc | Fully Insured | $665 |
| Quartz Health Solutions Inc | Self Insured | $665 |
| Aetna Illinois | Gated Health | $709 |
| Aetna Illinois | Non-Gated Health | $709 |
| Aetna Illinois | Government Programs | $709 |
| Aetna Illinois | Workers' Compensation | $709 |
| Dean Health | Badgercare Plus | $709 |
| HFN Inc. | Group Health EPO-PPO | $709 |
| Medical Associates | HMO | $722 |
| Medical Associates | Preffered Health Choices LLC | $722 |
| Medical Associates | Health Plan of Wisconsin HMO | $824 |
| Blue Cross Blue Shield of Illinois | PPO | $842 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $842 |
Inpatient
$806cash price (self-pay)
$886list price
$504–$842range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medical Associates | Health Plan of Wisconsin MAHP | $504 |
| UHC | Commercial | $567 |
| Employer Health Care | Alliance Cooperative | $572 |
| Medical Associates | MAHP | $576 |
| Quartz Health Solutions Inc | Fully Insured | $665 |
| Quartz Health Solutions Inc | Self Insured | $665 |
| Aetna Illinois | Gated Health | $709 |
| Aetna Illinois | Non-Gated Health | $709 |
| Aetna Illinois | Government Programs | $709 |
| Aetna Illinois | Workers' Compensation | $709 |
| Dean Health | Badgercare Plus | $709 |
| HFN Inc. | Group Health EPO-PPO | $709 |
| Medical Associates | HMO | $722 |
| Medical Associates | Preffered Health Choices LLC | $722 |
| Medical Associates | Health Plan of Wisconsin HMO | $824 |
| Blue Cross Blue Shield of Illinois | PPO | $842 |
| Blue Cross Blue Shield of Illinois | Blue Choice | $842 |
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