Emergency visit, high (level 4) at Northwestern Medicine Palos Hospital. CPT 99284.
What Northwestern Medicine Palos Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,525cash price (self-pay)
$4,699list price
$577–$3,607range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Preferred | $577 |
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Options | $577 |
| Blue Cross Blue Shield [1401] | Ph BCBS Bluechoice Options Select | $577 |
| Cigna Health Plan [178] | Ph Cigna Alternative | $675 |
| Alternate Blue Cross [1402] | Ph BCBS PPO | $693 |
| Blue Cross Blue Shield [1401] | Ph BCBS PPO | $693 |
| Aetna Health Plan [171] | Ph Aetna Nm Employees | $776 |
| Cigna Health Plan [178] | Ph Cigna Broad | $1,068 |
| Aetna Health Plan [171] | Ph Aetna IL Preferred | $1,223 |
| Alternate Blue Cross [1402] | Ph BCBS HMO | $1,411 |
| Blue Cross Blue Shield [1401] | Ph BCBS HMO | $1,411 |
| Healthlink [125] | Ph Seiu Healthlink | $1,804 |
| Carelon Behavioral Health [159] | Ph Value Options Bho | $1,804 |
| First Health Plan [6034] | Ph Aetna | $2,049 |
| Aetna Health Plan [171] | Ph Aetna | $2,049 |
| Magellan Behavioral Hlth [136] | Ph Magellan Bhs | $2,164 |
| United Healthcare [158] | Ph UHC Core | $2,274 |
| The Alliance [1703] | Ph The Alliance | $2,317 |
| Multiplan/Phcs [142] | Ph Multiplan/Phcs | $2,525 |
| United Healthcare [158] | Ph UHC All Other | $2,527 |
| Compsych [112] | Ph Compsych | $2,705 |
| First Health Plan [6034] | Ph First Health | $2,705 |
| Cigna Health Plan [178] | Ph Cigna Behavioral Bhs | $2,886 |
| Beechstreet [176] | Ph Beechstreet | $2,886 |
| Health'S Finest Network [126] | Ph Hfn | $3,066 |
| Aetna Health Plan [171] | Ph Non-Contracted Payors | $3,607 |
| Health Alliance [181] | Ph Non-Contracted Payors | $3,607 |
| United Healthcare [158] | Ph Non-Contracted Payors | $3,607 |
| Healthlink [125] | Ph Non-Contracted Payors | $3,607 |
| Galaxy Health Network [220] | Ph Non-Contracted Payors | $3,607 |
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