Emergency visit, high (level 4) at OSF Little Company of Mary Medical Center. CPT 99284.
What OSF Little Company of Mary Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
—cash price (self-pay)
—list price
$447–$832range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allwell | Medicare Managed Care | $447 |
| WellCare | Medicare Managed Care Plan | $452 |
| Aetna | Medicare Managed Care Plan | $456 |
| IlliniCare Health Plan | Ambetter Exchange | $537 |
| Molina Healthcare | Exchange | $626 |
| BCBS | Choice PPO | $832 |
Inpatient
$1,130cash price (self-pay)
$1,883list price
—range insurers pay
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All common services at OSF Little Company of Mary Medical Center