Emergency visit, high (level 4) at Rochelle Community Hospital. CPT 99284.
What Rochelle Community Hospital publishes for this service, straight from its standard-charges file, last updated September 28, 2026.
Outpatient / ER
$1,213cash price (self-pay)
$1,213list price
$412–$1,213range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Mcr Adv | UHC Mcr Adv | $412 |
| Aetna Mcr Adv | Aetna Mcr Adv | $412 |
| Health Alliance Mcr Adv | Health Alliance Mcr Adv | $412 |
| Humana Mcr Adv | Humana Mcr Adv | $412 |
| Va Ccn - All Plans | Va Ccn - All Plans | $412 |
| BCBS Mcr Adv | BCBS Mcr Adv | $421 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $421 |
| Aetna-All Other Plans | Aetna-All Other Plans | $849 |
| Humana HMO Exhange | Humana HMO Exhange | $849 |
| Cigna-All Plans | Cigna-All Plans | $910 |
| OSF Dan PPO - All Plans | OSF Dan PPO - All Plans | $910 |
| Beech Street-All Plans | Beech Street-All Plans | $970 |
| Health Alliance-All Other Plans | Health Alliance-All Other Plans | $970 |
| Humana HMO/PPO - All Other Plans | Humana HMO/PPO - All Other Plans | $970 |
| First Health - All Plans | First Health - All Plans | $970 |
| Ecoh-All Plans | Ecoh-All Plans | $1,031 |
| Hfn-All Plans | Hfn-All Plans | $1,031 |
| The Alliance-All Plans | The Alliance-All Plans | $1,031 |
| Quartz Health Solutions-All Plans | Quartz Health Solutions-All Plans | $1,067 |
| UHC All Payer -All Other Plans | UHC All Payer -All Other Plans | $1,092 |
| UHC Options PPO | UHC Options PPO | $1,092 |
| BCBS HMO | BCBS HMO | $1,122 |
| Multiplan-All Plans | Multiplan-All Plans | $1,140 |
| BCBS Blue Choice-All Other Plans | BCBS Blue Choice-All Other Plans | $1,152 |
| BCBS PPO | BCBS PPO | $1,201 |
| BCBS Indemnity | BCBS Indemnity | $1,213 |
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