Emergency visit, high (level 4) at OSF Saint Francis Medical Center. CPT 99284.
What OSF Saint Francis 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
$128–$8,334range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance Plan | Medicare Managed Care Plan | $447 |
| Aetna | Medicare Managed Care Plan | $452 |
| BCBS | Medicare Managed Care Plan | $456 |
| Caterpillar | All Commercial Plans | $1,520 |
| Humana | HMO/POS | $2,556 |
| Humana | PPO | $4,231 |
Inpatient
$1,181cash price (self-pay)
$1,968list price
—range insurers pay
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