Emergency visit, high (level 4) at Franciscan Health Michigan City-Laporte. CPT 99284.
What Franciscan Health Michigan City-Laporte 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–$2,969range 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 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $1,068 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Michigan City/L | $1,363 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Michigan City/ | $1,522 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Michigan City/Lap | $1,522 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Michi | $1,522 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - M | $1,522 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $1,522 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $1,522 |
| 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] | 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 |
| Managed Care [2000] | Encore - Cid & Nid & Wid & Sscd | $1,794 |
| Commercial [2001] | Encore - Cid & Nid & Wid & Sscd | $1,794 |
| United Healthcare [1156] | UHC Options PPO-Nid-Michigan City | $1,838 |
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All common services at Franciscan Health Michigan City-Laporte