Emergency visit, high (level 4) at Franciscan Health Carmel. CPT 99284.
What Franciscan Health Carmel publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,025cash price (self-pay)
$4,439list price
$296–$3,995range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Illinois [1091] | In Mcd-Cir-Carmel | $296 |
| Medicaid [1092] | In Mcd-Cir-Carmel | $296 |
| Mdwise [1175] | In Mcd-Cir-Carmel | $296 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Cir-Carmel | $296 |
| Managed Health Services [1302] | In Mcd Ind-Carmel-Car Ort 112% Of In | $305 |
| Medicaid [1092] | In Mcd-Indianapol Caresource 120% In Mcd | $355 |
| Medicare [1099] | Medicare | $441 |
| Medicare Replacement [2003] | Medicare | $441 |
| WORKERS COMP [1172] | Workers Comp - CIR - INDIANAPOLIS | $883 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $1,068 |
| Blue Cross [1014] | Anthem Healthsync HMO With Copps - Indianapolis & | $1,371 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Indianapolis & | $1,553 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Indianapolis & | $1,736 |
| Blue Cross [1014] | Anthem Blue Traditional With Copps - Indianapolis | $1,736 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Indianapolis & CA | $1,736 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - India | $1,736 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - I | $1,736 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $1,736 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $1,736 |
| United Healthcare [1156] | United Healthcare Charter-Cid | $2,637 |
| United Healthcare [1156] | United Healthcare-Cid | $2,690 |
| United Medical Resources [1158] | United Healthcare-Cid | $2,690 |
| United Medical Resources [1301] | United Healthcare-Cid | $2,690 |
| Managed Care [2000] | United Healthcare-Cid | $2,690 |
| Commercial [2001] | United Healthcare-Cid | $2,690 |
| Cigna [1037] | Cigna-Cid | $2,828 |
| Managed Care [2000] | Cigna-Cid | $2,828 |
| Commercial [2001] | Cigna-Cid | $2,828 |
| Aetna [1005] | Aetna-Cid | $3,058 |
| Managed Care [2000] | Aetna-Cid | $3,058 |
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