Emergency visit, high (level 4) at Northwestern Memorial Hospital. CPT 99284.
What Northwestern Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,525cash price (self-pay)
$4,696list price
$700–$3,607range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Health Plan [171] | Nmh Aetna Nm Employees | $700 |
| Cigna Health Plan [178] | Nmh Cigna Behavioral Health (Evernorth) | $796 |
| Cigna Health Plan [178] | Nmh Cigna Alternative | $840 |
| Curaechoice [6100] | Nmhc Curaechoice | $844 |
| Aetna Health Plan [171] | Nmhc Imagine Health | $974 |
| Imagine Health [6032] | Nmhc Imagine Health | $974 |
| Aetna Health Plan [171] | Nmh Aetna Bp | $1,082 |
| Aetna Health Plan [171] | Nmh Aetna | $1,154 |
| Aetna Health Plan [171] | Nmh Aetna Asa | $1,273 |
| Humana Health Plan [130] | Nmh Advocate Ipa | $1,443 |
| Humana Health Plan [130] | Nmh Chs Ipa | $1,443 |
| Humana Health Plan [130] | Nmhc Scpp Ipa | $1,623 |
| Blue Cross Blue Shield [1401] | Nmhc Scpp Ipa | $1,623 |
| Blue Cross Blue Shield [1401] | Nmhc Chwn Ipa | $1,623 |
| Humana Health Plan [130] | Nmhc Uic Ipa | $1,804 |
| Blue Cross Blue Shield [1401] | Nmhc Uic Ipa | $1,804 |
| Healthlink [125] | Nmh Seiu Healthlink | $1,804 |
| Global Medical Management Inc [6090] | Nmhc Gmmi | $2,092 |
| Cigna Health Plan [178] | Nmh Cigna Broad | $2,096 |
| Health'S Finest Network [126] | Nmh Hfn Platinum/Chc Elite | $2,345 |
| Medpartners [6038] | Nmhc Medpartners | $2,525 |
| United Healthcare [158] | Nmh UHC Core | $2,723 |
| Multiplan/Phcs [142] | Nmh Phcs PPO | $2,886 |
| Health'S Finest Network [126] | Nmh Hfn/20 EPO | $2,958 |
| United Healthcare [158] | Nmh UHC | $3,026 |
| Health'S Finest Network [126] | Nmh Hfn/10 PPO | $3,066 |
| Aetna Health Plan [171] | Nmhc Non-Contracted Payors | $3,607 |
| Cigna Health Plan [178] | Nmhc Non-Contracted Payors | $3,607 |
| Galaxy Health Network [220] | Nmhc Non-Contracted Payors | $3,607 |
| Healthlink [125] | Nmhc Non-Contracted Payors | $3,607 |
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