Emergency visit, high (level 4) at Franciscan Health Mooresville. CPT 99284.
What Franciscan Health Mooresville publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,128cash price (self-pay)
$4,439list price
$296–$4,439range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid Illinois [1091] | In Mcd-Cir-Mooresville | $296 |
| Medicaid [1092] | In Mcd-Cir-Mooresville | $296 |
| Mdwise [1175] | In Mcd-Cir-Mooresville | $296 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Cir-Mooresville | $296 |
| Managed Health Services [1302] | In Mcd Moorseville Mhs 112% Of In Mcd | $305 |
| Medicaid [1092] | In Mcd-Mooresv Caresource 120% Of In Mdc | $355 |
| Medicare [1099] | Medicare-Cir-Mooresville | $441 |
| Medicare Replacement [2003] | Medicare-Cir-Mooresville | $486 |
| Workers Comp [1172] | Workers Comp - Cir - Mooresville | $883 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $1,068 |
| Blue Cross [1014] | Anthem Healthsync HMO With Copps - Mooresville | $1,479 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Mooresville | $1,676 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Mooresville | $1,873 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Mooresville | $1,873 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Moore | $1,873 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - M | $1,873 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $1,873 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $1,873 |
| 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 |
| Managed Care [2000] | United Healthcare All Savers-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 |
| Managed Care [2000] | Encore - Cid & Nid & Wid & Sscd | $2,885 |
| Commercial [2001] | Encore - Cid & Nid & Wid & Sscd | $2,885 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.