Emergency visit, high (level 4) at Franciscan Health Indianapolis. CPT 99284.
What Franciscan Health Indianapolis 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–$4,439range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mdwise [1175] | In Mcd-Cir-Indianapolis | $296 |
| Medicaid [1092] | In Mcd-Cir-Indianapolis | $296 |
| Medicaid Illinois [1091] | In Mcd-Cir-Indianapolis | $296 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Cir-Indianapolis | $296 |
| Medicaid [1092] | Anthem Medicaid [109201] | $296 |
| Medicaid [1092] | Medicaid In Traditional [109206] | $296 |
| Medicaid [1092] | Anthem Healthy Indiana Plan [301498] | $296 |
| Medicaid [1092] | Anthem Care Connect [315015] | $296 |
| Medicaid [1092] | Mdwise Excel Hip [318028] | $296 |
| Medicaid [1092] | Mdwise Excel Hhw [318029] | $296 |
| Medicaid [1092] | Anthem Pathways For Aging [324049] | $296 |
| Medicaid [1092] | Humana Healthy Horizons In Indiana [324050] | $296 |
| Medicaid [1092] | United Healthcare Pathways For The Aging [324051] | $296 |
| Managed Health Services [1302] | In Mcd Ind-Carmel-Car Ort 112% Of In | $305 |
| Managed Health Services [1302] | Managed Hlth Serv Hip [313052] | $305 |
| Managed Health Services [1302] | Managed Health Services [313053] | $305 |
| Managed Health Services [1302] | Mhs Care Connect [315017] | $305 |
| Medicaid [1092] | In Mcd-Indianapol Caresource 120% In Mcd | $355 |
| Medicaid [1092] | Caresource Hip [316038] | $355 |
| Medicaid [1092] | Caresource Hhw [316039] | $355 |
| Medicare [1099] | Medicare-Cir-Indianapolis | $441 |
| Medicare Replacement [2003] | Medicare-Cir-Indianapolis | $464 |
| WORKERS COMP [1172] | Workers Comp - CIR - INDIANAPOLIS | $883 |
| United Healthcare [1156] | United Healthcare Charter-Cid | $2,637 |
| Managed Care [2000] | United Healthcare-Cid | $2,690 |
| 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 |
| Commercial [2001] | United Healthcare-Cid | $2,690 |
| Cigna [1037] | Cigna-Cid | $2,828 |
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