Emergency visit, high (level 4) at Dukes Memorial Hospital. CPT 99284.
What Dukes Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$126cash price (self-pay)
$252list price
$46.65–$2,757range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy Indiana Program-Anthem | Anthem IN HIP | $50.40 |
| Anthem Blue Cross Blue Shield | NODE Anthem IN MCR ADV | $50.40 |
| Aetna | NODE Aetna MCR ADV | $50.58 |
| IN Dept of Correction | IN DOC | $52.42 |
| Miami County Sheriffs Department | Miami County Jail | $52.42 |
| Lutheran Advanced Network | Lutheran Advanced Network | $75.60 |
| NODE Lutheran Preferred Fixed 2 | Lutheran Preferred Fixed 2 | $75.60 |
| Lutheran Three Rivers Preferred Plus 150 | Lutheran Three Rivers Prefe | $75.60 |
| NODE Anthem Essentials MCR ADV | NODE Anthem Essentials Marketplace | $75.60 |
| Align Network | Align IN Work Comp | $80.64 |
| Anthem Blue Cross Blue Shield | Anthem IN Work Comp | $80.64 |
| Lutheran Three Rivers Preferred Plus 175 | Lutheran Three Rivers Prefe | $88.20 |
| Aetna | Aetna NBD | $90.72 |
| Aetna PSSD J&J | Aetna PSSD JJ | $90.72 |
| Encore Work Comp IN | Encore Work Comp IN | $90.72 |
| Work Comp | IN Work Comp | $101 |
| Lutheran Northwest Health Preferred | Lutheran Northwest Health Prefer | $101 |
| Three Rivers Preferred Plus | Lutheran Preferred Three Rivers Plus | $101 |
| Managed Health Services | MHS COM Exchange | $101 |
| CIGNA | Cigna All | $107 |
| Lutheran Preferred | Lutheran Preferred Fixed | $113 |
| Three Rivers Preferred | Lutheran Preferred Three Rivers | $113 |
| Aetna | Aetna All | $120 |
| Encore KBA EPO | Encore KBA EPO | $121 |
| Amish Aid | Amish Aid | $126 |
| Encore PPO | Encore PPO | $126 |
| Encore KBA PPO | Encore KBA PPO | $151 |
| Consumer Life | Consumer Life/MMO | $156 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $156 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $156 |
Inpatient
$139cash price (self-pay)
$252list price
$80.14–$2,481range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | NODE Lutheran Preferred CHS Employees | $80.14 |
| Aetna | Aetna NBD | $90.72 |
| Aetna PSSD J&J | Aetna PSSD JJ | $90.72 |
| Physicians Health Plan | PHP Platinum | $101 |
| Physicians Health Plan | PHP Options | $105 |
| Lutheran Preferred | Lutheran Preferred Fixed | $113 |
| PHP Freedom | PHP Freedom Network | $116 |
| Physicians Health Plan | PHP Classic | $117 |
| Node Va | Node Va | $122 |
| United Healthcare | UHC APA | $124 |
| Self Pay | Self Pay | $139 |
| Sagamore Health Network | Sagamore | $140 |
| Consumer Life | Consumer Life/MMO | $156 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $156 |
| Lutheran Preferred | Lutheran Preferred Choice | $164 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $164 |
| Prime Health Services | Prime Health Services | $189 |
| Prime Health Services | Prime Health Services Auto | $189 |
| First Health | First Health | $202 |
| Lutheran Preferred | Lutheran Preferred CCSI | $202 |
| Multiplan | Multiplan Complementary | $204 |
| MultiPlan | Multiplan Primary | $204 |
| Encore Health Network | Encore PPO Fully Insured | $207 |
| Advantage Health Solutions | Advantage Health Solutions | $209 |
| Encore | Encore PPO Self Insured | $227 |
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