Emergency visit, high (level 4) at University of Illinois Hospital and Clinics. CPT 99284.
What University of Illinois Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$215cash price (self-pay)
$717list price
$83.69–$2,385range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | MMAI Dual Eligibility | $102 |
| Sinai Medical Group | All Products | $127 |
| Aetna | Medicare HMO, PPO, & NAP | $127 |
| Coventry | Medicare Advantage | $127 |
| Longevity Health Plan | Medicare Advantage | $127 |
| Medicare | Part A and B & Medicare Railroad | $127 |
| Sunrise Medicare | All Products | $127 |
| United | Medicare HMO & PPO | $127 |
| Veterans Affairs CCN Optum | All Products | $127 |
| Zing Health | Medicare Advantage | $130 |
| Wellcare | Medicare HMO | $133 |
| UIC Physician Group | HMO | $140 |
| BCBS | Blue Choice City of Chicago | $145 |
| BCBS | Blue Choice Opt PPO | $145 |
| United | Core EPO & Navigate EPO | $158 |
| Unified Physicians Network | All Products | $159 |
| Dolton Medical Associates | All Products | $159 |
| Mac Neal Health Providers | All Products | $159 |
| Mercy Physician Association | All Products | $159 |
| West Suburban Health Providers | All Products | $159 |
| BCBS | Advocate Health Systems IPA | $161 |
| Northwest Primary Care Alliance | All Products | $165 |
| Lake County Physician Associates | All Products | $165 |
| Northshore Physician Association | All Products | $165 |
| Southwest Physician Group LTD | All Products | $165 |
| Fox Valey Medicine LTD | All Products | $172 |
| Oak West Primary Care Alliance | All Products | $172 |
| BCBS | PPO | $172 |
| Caterpillar | EPO | $172 |
| United | HMO, POS & Open Access | $176 |
Inpatient
$215cash price (self-pay)
$717list price
$86.39–$227range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | MMAI Dual Eligibility | $86.39 |
| Sinai Medical Group | All Products | $108 |
| Aetna | Medicare HMO, PPO, & NAP | $108 |
| Coventry | Medicare Advantage | $108 |
| Health Alliance | Medicare | $108 |
| Longevity Health Plan | Medicare Advantage | $108 |
| Medicare | Part A and B & Medicare Railroad | $108 |
| Sunrise Medicare | All Products | $108 |
| United | Medicare HMO & PPO | $108 |
| United | Choice EPO | $110 |
| United | Core EPO & Navigate EPO | $110 |
| United | HMO, POS & Open Access | $110 |
| UIC Physician Group | HMO | $119 |
| BCBS | Blue Choice City of Chicago | $124 |
| BCBS | Blue Choice Opt PPO | $124 |
| BCBS | Unite Here Health | $124 |
| Union Health Service | All Products | $130 |
| Unified Physicians Network | All Products | $135 |
| Dolton Medical Associates | All Products | $135 |
| Mac Neal Health Providers | All Products | $135 |
| Mercy Physician Association | All Products | $135 |
| BCBS | Advocate Health Systems IPA | $137 |
| Northwest Primary Care Alliance | All Products | $140 |
| Lake County Physician Associates | All Products | $140 |
| Northshore Physician Association | All Products | $140 |
| Southwest Physician Group LTD | All Products | $140 |
| Fox Valey Medicine LTD | All Products | $146 |
| Health Alliance | PPO | $146 |
| Oak West Primary Care Alliance | All Products | $146 |
| BCBS | PPO | $146 |
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All common services at University of Illinois Hospital and Clinics