Emergency visit, high (level 4) at Decatur County Memorial Hospital. CPT 99284.
What Decatur County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 2, 2026.
Outpatient / ER
$1,225cash price (self-pay)
$1,633list price
$474–$2,250range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Mcr Adv | Anthem Mcr Adv | $474 |
| Choice Care Mcr Adv | Choice Care Mcr Adv | $474 |
| Anthem Healthy In Mcr | Anthem Healthy In Mcr | $490 |
| Siho Mcr Adv | Siho Mcr Adv | $490 |
| UHC Mcr Adv | UHC Mcr Adv | $490 |
| Caresource Mcr Adv | Caresource Mcr Adv | $514 |
| Aetna Mcr Advantage | Aetna Mcr Advantage | $555 |
| Caresource Just4me-All Other Plans | Caresource Just4me-All Other Plan | $805 |
| Anthem HMO | Anthem HMO | $956 |
| Anthem PPO | Anthem PPO | $1,028 |
| Anthem Trad-All Other Plans | Anthem Trad-All Other Plans | $1,068 |
| Aetna-All Other Plans | Aetna-All Other Plans | $1,241 |
| Cigna-All Other Plans | Cigna-All Other Plans | $1,257 |
| Sagamore Health-All Plans | Sagamore Health-All Plans | $1,306 |
| Encircle-All Plans | Encircle-All Plans | $1,388 |
| Healthsource Indiana-All Plans | Healthsource Indiana-All Plans | $1,470 |
| Choicecare Commercial-All Other Plans | Choicecare Commercial-All Othe | $1,519 |
| Thcg/Encore-All Plans | Thcg/Encore-All Plans | $1,535 |
| Siho-All Other Plans | Siho-All Other Plans | $1,584 |
| Anthem Medicaid | Anthem Medicaid | $1,633 |
| Caresource Medicaid | Caresource Medicaid | $1,633 |
| UHC-All Other Plans | UHC-All Other Plans | $2,250 |
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