Emergency visit, high (level 4) at SwedishAmerican Medical Group. CPT 99284.
What SwedishAmerican Medical Group publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$75.83cash price (self-pay)
$474list price
$83.69–$2,121range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna HMO, PPO | $124 |
| United Healthcare Medicare Adv | United Healthcare | $124 |
| Community Care Medicare Adv | Community Care | $124 |
| Aetna Better Health Medicare Advantage | Aetna Better Health Dual | $124 |
| BCBS Medicare Adv | BCBS PPO | $124 |
| Humana Medicare Adv | PPO/PFFS/HMO/Dual | $124 |
| Molina Medicare Adv | HMO | $124 |
| Meridian Medicare Adv | Complete HMO Dual | $124 |
| Zing Medicare Adv | Zing Health | $124 |
| Clear Spring Medicare | Clear Spring Health of IL MC | $124 |
| Dean Medicare | Deancare | $124 |
| Medical Associates Medicare Adv | Medical Associates Medicare Adv | $124 |
| MyChoice WI Medical Adv | MyChoice WI Dual | $124 |
| Devoted Health Medicare Adv | HMO/POS/PPO | $126 |
| Provider Partners Medicare Adv | Provider Partners Health Plan | $136 |
| Blue Cross Blue Shield HMOI | HMO Plans | $234 |
| Quartz Fully Insured | Quartz | $357 |
| Aspirus Health Plan of Wisconsin Medicare Adv | Aspirus HMO | $426 |
| Blue Cross Blue Shield | Broad PPO Plans | $459 |
| Ecoh | Ecoh 1 | $490 |
| HFN | HFN Platinum | $490 |
| Quartz ASO | Quartz | $513 |
| Alliance Premier Network | Premier | $536 |
| Ecoh | Ecoh 2 | $569 |
| Aetna | Aetna commerical plans | $638 |
| The Alliance | Alliance | $666 |
| United Healthcare | United Healthcare | $684 |
| Cigna | PPO/OAP/EPO | $702 |
| Ecoh | Ecoh 3 | $715 |
| ECOH | ECOH One Medical Home | $773 |
Inpatient
$75.83cash price (self-pay)
$474list price
$83.69–$474range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Zing Medicare Adv | Zing Health | $124 |
| Meridian Medicare Adv | Complete HMO Dual | $124 |
| Medical Associates Medicare Adv | Medical Associates Medicare Adv | $124 |
| Humana Medicare Adv | PPO/PFFS/HMO/Dual | $124 |
| Dean Medicare | Deancare | $124 |
| Molina Medicare Adv | HMO | $124 |
| Aetna Better Health Medicare Advantage | Aetna Better Health Dual | $124 |
| Clear Spring Medicare | Clear Spring Health of IL MC | $124 |
| Community Care Medicare Adv | Community Care | $124 |
| BCBS Medicare Adv | BCBS PPO | $124 |
| Aetna Medicare Advantage | Aetna HMO, PPO | $124 |
| United Healthcare Medicare Adv | United Healthcare | $124 |
| MyChoice WI Medical Adv | MyChoice WI Dual | $124 |
| Devoted Health Medicare Adv | HMO/POS/PPO | $126 |
| Provider Partners Medicare Adv | Provider Partners Health Plan | $136 |
| Blue Cross Blue Shield | Broad PPO Plans | $474 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.