Emergency visit, high (level 4) at Northwestern Medicine Marianjoy Rehabilitation Hospital. CPT 99284.
What Northwestern Medicine Marianjoy Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,525cash price (self-pay)
$3,607list price
$1,515–$3,607range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Plan [171] | Mrh Imagine Health | $1,515 |
| Imagine Health [6032] | Mrh Imagine Health | $1,515 |
| Aetna Health Plan [171] | Mrh Aetna Nm Employees | $1,695 |
| Cigna Health Plan [178] | Mrh Cigna Broad | $1,804 |
| The Alliance [1703] | Mrh The Alliance | $1,960 |
| Blue Cross Blue Shield [1401] | Mrh BCBS Bluechoice Preferred | $1,966 |
| Blue Cross Blue Shield [1401] | Mrh BCBS Bluechoice Select | $1,966 |
| Blue Cross Blue Shield [1401] | Mrh BCBS Bluechoice Options | $1,966 |
| Blue Cross Blue Shield [1401] | Mrh BCBS Par/Indemnity Adp | $2,016 |
| Blue Cross Blue Shield [1401] | Mrh BCBS HMO | $2,108 |
| Alternate Blue Cross [1402] | Mrh BCBS HMO | $2,108 |
| Blue Cross Blue Shield [1401] | Mrh University Of IL Med Center - Ipa | $2,164 |
| Blue Cross Blue Shield [1401] | Mrh Dreyer - Ipa | $2,164 |
| Humana Health Plan [130] | Mrh University Of IL Med Center - Ipa | $2,164 |
| Cigna Health Plan [178] | Mrh Cigna Narrow | $2,164 |
| Humana Health Plan [130] | Mrh Dreyer - Ipa | $2,164 |
| Blue Cross Blue Shield [1401] | Mrh BCBS PPO | $2,215 |
| Alternate Blue Cross [1402] | Mrh BCBS PPO | $2,215 |
| Healthlink [125] | Mrh Seiu Healthlink | $2,272 |
| Blue Cross Blue Shield [1401] | Mrh Loyola University Med Center - Ipa | $2,345 |
| First Health Plan [6034] | Mrh First Health | $2,413 |
| Multiplan/Phcs [142] | Mrh Phcs | $2,886 |
| Health'S Finest Network [126] | Mrh Hfn | $3,138 |
| Aetna Health Plan [171] | Mrh Non-Contracted Payors | $3,607 |
| First Health Plan [6034] | Mrh Non-Contracted Payors | $3,607 |
| Humana Health Plan [130] | Mrh Non-Contracted Payors | $3,607 |
| Multiplan/Phcs [142] | Mrh Non-Contracted Payors | $3,607 |
| United Healthcare [158] | Mrh Non-Contracted Payors | $3,607 |
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All common services at Northwestern Medicine Marianjoy Rehabilitation Hospital