Emergency visit, high (level 4) at Franciscan Health Michigan City. CPT 99284.
What Franciscan Health Michigan City publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$574cash price (self-pay)
$2,760list price
$296–$3,528range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Illinois [1091] | In Mcd-Nir-Michigan City | $296 |
| Medicaid [1092] | In Mcd-Nir-Michigan City | $296 |
| Mdwise [1175] | In Mcd-Nir-Michigan City | $296 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Nir-Michigan City | $296 |
| Managed Health Services [1302] | In Mcd Michigan City Mhs 112% Of In M | $305 |
| Medicaid [1092] | In Mdc Mi City Caresource 120% Of In Mcd | $355 |
| Medicare [1099] | Medicare-Nir-Michigan City | $441 |
| Medicare Replacement [2003] | Medicare-Nir-Michigan City | $441 |
| Workers Comp [1172] | Workers Comp - Nir - Michigan City | $883 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $1,132 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $1,132 |
| Cigna [1037] | Cigna Localplus-Nid | $1,176 |
| Blue Cross Illinois [1210] | St Anthony Health-Nir-Stmar&Fhm&Stant Mc | $1,380 |
| United Healthcare [1156] | UHC All Payer-Nid-Michigan City | $1,653 |
| United Medical Resources [1158] | UHC All Payer-Nid-Michigan City | $1,653 |
| United Medical Resources [1301] | UHC All Payer-Nid-Michigan City | $1,653 |
| Managed Care [2000] | UHC All Payer-Nid-Michigan City | $1,653 |
| Commercial [2001] | UHC All Payer-Nid-Michigan City | $1,653 |
| Managed Care [2000] | UHC All Savers-Nid-Michigan City | $1,653 |
| Managed Care [2000] | Lutheran Preferred-Nid & Wid & Cid-Carme | $1,656 |
| Managed Care [2000] | First Health-Nid | $1,656 |
| Commercial [2001] | First Health-Nid | $1,656 |
| Cigna [1037] | Cigna HMO-Nid-Michigan City & Laporte | $1,667 |
| Great West Insurance [1055] | Cigna HMO-Nid-Michigan City & Laporte | $1,667 |
| Managed Care [2000] | Cigna HMO-Nid-Michigan City & Laporte | $1,667 |
| Commercial [2001] | Cigna HMO-Nid-Michigan City & Laporte | $1,667 |
| Cigna [1037] | Cigna PPO-Nid-Michigan City | $1,747 |
| United Healthcare [1156] | UHC Options PPO-Nid-Michigan City | $1,838 |
| United Medical Resources [1301] | UHC Options PPO-Nid-Michigan City | $1,838 |
| Managed Care [2000] | UHC Options PPO-Nid-Michigan City | $1,838 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.