Emergency visit, high (level 4) at Elkhart General Hospital. CPT 99284.
What Elkhart General Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$681cash price (self-pay)
$1,047list price
$209–$1,361range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| McLaren (MI | MI Medicaid | $239 |
| UHC | MI Medicaid | $239 |
| Devoted Healthcare | Medicare Advantage | $339 |
| Anthem | Exchange | $446 |
| Anthem | Medicare Advantage | $446 |
| Humana | Medicare Advantage | $446 |
| PACE | Medicare | $446 |
| UHC | Medicare Advantage | $446 |
| Aetna | Medicare Advantage | $459 |
| CHA | Employer Group 4 | $628 |
| Immergrun | Commercial | $628 |
| CHA | Employer Group 1 | $670 |
| Anthem | HealthSync | $675 |
| PHP | Commercial Select | $681 |
| CHA | Employer Group 2 | $691 |
| UHC | Commercial | $704 |
| Aetna | Commercial | $709 |
| Caresource | Exchange | $714 |
| Humana | Commercial | $733 |
| PHP | Commercial | $733 |
| MHS | Exchange | $742 |
| Plain Church | Commercial | $753 |
| Cigna | OAP | $754 |
| Multiplan | Commercial | $754 |
| Signature | Commercial | $764 |
| Encore | Commercial | $775 |
| Anthem | Commercial | $794 |
| Cigna Sagamore | PPO | $796 |
| CHA | Employer Group 3 | $817 |
| Anthem | Workers Compensation | $848 |
Inpatient
$681cash price (self-pay)
$1,047list price
$209–$1,361range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $209 |
| CHA | Employer Group 1 | $670 |
| PHP | Commercial Select | $681 |
| CHA | Employer Group 2 | $691 |
| Aetna | Commercial | $709 |
| Humana | Commercial | $719 |
| PHP | Commercial | $733 |
| Cigna | OAP | $754 |
| Multiplan | Commercial | $754 |
| Signature | Commercial | $764 |
| Encore | Commercial | $775 |
| Cigna Sagamore | PPO | $796 |
| CHA | Employer Group 3 | $817 |
| Immergrun | Commercial | $838 |
| Plain Church | Commercial | $838 |
| Caresource | IN Medicaid HIP | $1,361 |
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