Emergency visit, high (level 4) at Bluffton Regional Medical Center. CPT 99284.
What Bluffton Regional Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$60.48cash price (self-pay)
$252list price
$60.48–$2,609range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amish Aid | Amish Aid | $60.48 |
| Self Pay | Self Pay | $60.48 |
| Physicians Health Plan | PHP Options | $61.08 |
| Lutheran Preferred Network | Lutheran Preferred CHS Employees | $75.35 |
| PHP Freedom Network | PHP Freedom Network | $78.98 |
| Cigna | Cigna HMO | $79.88 |
| PHP | PHP Classic | $80.29 |
| Cigna | Cigna PPO | $89.21 |
| Aetna | Aetna NBD | $91.22 |
| Aetna PSSD J&J | Aetna PSSD JJ | $91.22 |
| PHP Management Systems | PHP Platinum | $97.57 |
| Lutheran TRMA | Lutheran Preferred Three Rivers Plus | $101 |
| Veterans Eval Services | Veterans Eval Services | $110 |
| Aetna US Healthcare | Aetna | $112 |
| Lutheran Preferred Network | Lutheran Preferred Fixed | $113 |
| Lutheran TRMA | Lutheran Preferred Three Rivers | $113 |
| Encore PPO | Encore Combined PPO | $123 |
| Lutheran Preferred Network | Lutheran Preferred Exclusive Plus | $126 |
| Sagamore SEBT | Sagamore SEBT | $129 |
| Sagamore Health Newtork Inc | Sagamore | $135 |
| Sagamore Health Newtork Inc | Sagamore Specialty Groups | $135 |
| Consumer Life | Consumer Life | $156 |
| Lutheran Preferred Network | Lutheran Preferred Inclusive | $156 |
| AHG Dana Employees | AHG Dana Employees | $164 |
| Lutheran Preferred Network | Lutheran Preferred Choice | $164 |
| Lutheran Preferred Network | Lutheran Preferred Exclusive | $164 |
| Align Networks | Align Networks | $176 |
| Private Healthcare Systems Inc | MultiPlan Primary | $189 |
| Prime Health Services | Prime Health Services | $189 |
| Prime Health Services | Prime Health Services Auto | $189 |
Inpatient
$139cash price (self-pay)
$252list price
$75.35–$2,426range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred Network | Lutheran Preferred CHS Employees | $75.35 |
| Aetna | Aetna NBD | $91.22 |
| Aetna PSSD J&J | Aetna PSSD JJ | $91.22 |
| Aetna US Healthcare | Aetna | $112 |
| United HealthCare | UHC APA | $118 |
| Sagamore SEBT | Sagamore SEBT | $129 |
| Sagamore Health Newtork Inc | Sagamore | $135 |
| Sagamore Health Newtork Inc | Sagamore Specialty Groups | $135 |
| Self Pay | Self Pay | $139 |
| Consumer Life | Consumer Life | $156 |
| Lutheran Preferred Network | Lutheran Preferred Inclusive | $156 |
| Lutheran Preferred Network | Lutheran Preferred Choice | $164 |
| Lutheran Preferred Network | Lutheran Preferred Exclusive | $164 |
| Align Networks | Align Networks | $176 |
| Private Healthcare Systems Inc | MultiPlan Primary | $189 |
| Prime Health Services | Prime Health Services | $189 |
| Prime Health Services | Prime Health Services Auto | $189 |
| Lutheran Preferred Network | Lutheran Preferred CCSI | $202 |
| MultiPlan | MultiPlan Complementary | $202 |
| Encore Health Network | Encore PPO Fully Insured | $207 |
| Advantage 360 | Advantage 360 | $209 |
| Community Health Alliance | Community Health Alliance | $214 |
| First Health | First Health Non-Exclusive | $217 |
| Allied Benefit Systems | Allied Benefit Systems | $227 |
| Cardinal Health Alliance | Cardinal Health Alliance | $227 |
| Encore Health Network | Encore PPO Self Insured | $227 |
| Ppom | Ppom | $227 |
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