Emergency visit, high (level 4) at Northwestern Medicine Delnor Hospital. CPT 99284.

What Northwestern Medicine Delnor Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$2,525cash price (self-pay)

$5,165list price

$537–$3,607range insurers pay

Insurance plan	Negotiated rate
Blue Cross Blue Shield [1401] \| Dch BCBS Bluechoice Options	$537
Blue Cross Blue Shield [1401] \| Dch BCBS Bluechoice Select	$537
Aetna Health Plan [171] \| Dch Aetna Nm Employees	$588
Blue Cross Blue Shield [1401] \| Dch BCBS Bluechoice Preferred	$649
Alternate Blue Cross [1402] \| Dch BCBS PPO	$840
Blue Cross Blue Shield [1401] \| Dch BCBS PPO	$840
Cigna Health Plan [178] \| Dch Cigna Alternative	$1,097
Health'S Finest Network [126] \| Dch Hfn Nmh Tier One	$1,804
Blue Cross Blue Shield [1401] \| Dch BCBS Par/Indemnity Adp	$2,016
Cigna Health Plan [178] \| Dch Cigna Broad	$2,207
First Health Plan [6034] \| Dch Aetna	$2,236
Aetna Health Plan [171] \| Dch Aetna	$2,236
Healthlink [125] \| Dch Seiu Healthlink	$2,272
The Alliance [1703] \| Dch The Alliance	$2,317
Health'S Finest Network [126] \| Dch Hfn Plat	$2,345
Aetna Health Plan [171] \| Dch Aetna Asa	$2,449
First Health Plan [6034] \| Dch First Health	$2,489
Alternate Blue Cross [1402] \| Dch BCBS HMO	$2,515
Blue Cross Blue Shield [1401] \| Dch BCBS HMO	$2,515
Health'S Finest Network [126] \| Dch Hfn EPO	$2,705
Multiplan/Phcs [142] \| Dch Phcs	$2,705
Compsych [112] \| Dch Compsych	$2,886
Cigna Health Plan [178] \| Dch Cigna Behavioral Bhs	$2,886
Health'S Finest Network [126] \| Dch Hfn PPO	$3,066
Beechstreet [176] \| Dch Beech Street/Capp Care	$3,246
Multiplan/Phcs [142] \| Dch Multiplan	$3,246
Multiplan/Phcs [142] \| Dch Non-Contracted Payors	$3,607

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