Emergency visit, high (level 4) at Johnson Memorial Health. CPT 99284.
What Johnson Memorial Health publishes for this service, straight from its standard-charges file, last updated May 5, 2026.
Outpatient / ER
$258cash price (self-pay)
$1,778list price
$111–$1,778range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Mcr Adv | Humana Mcr Adv | $111 |
| Aetna Mcr Adv | Aetna Mcr Adv | $111 |
| Anthem Mcr Adv | Anthem Mcr Adv | $111 |
| Cigna - All Plans | Cigna - All Plans | $111 |
| Humana - All Other Plans | Humana - All Other Plans | $354 |
| Aetna-All Other Plans | Aetna-All Other Plans | $359 |
| Anthem On Exchange | Anthem On Exchange | $773 |
| Anthem Plan HMO | Anthem Plan HMO | $834 |
| Anthem PPO/Off Exchange | Anthem PPO/Off Exchange | $859 |
| Anthem Trad - All Other Plans | Anthem Trad - All Other Plans | $1,058 |
| Unified Group - All Plans | Unified Group - All Plans | $1,077 |
| Encore - All Plans | Encore - All Plans | $1,227 |
| Umr - All Plans | Umr - All Plans | $1,245 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $1,302 |
| Siho - All Plans | Siho - All Plans | $1,600 |
| Multiplan - All Plans | Multiplan - All Plans | $1,725 |
| Anthem Medicaid | Anthem Medicaid | $1,778 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.