Emergency visit, high (level 4) at Methodist Hospitals Northlake Campus. CPT 99284.
What Methodist Hospitals Northlake Campus publishes for this service, straight from its standard-charges file, last updated April 16, 2026.
Outpatient / ER
$1,333cash price (self-pay)
$1,904list price
$296–$2,088range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Indiana Medicaid | Traditional | $296 |
| Anthem | Indiana HMO Medicaid | $296 |
| Managed Health Services | Indiana HMO Medicaid | $296 |
| CareSource | Indiana HMO Medicaid | $296 |
| United Healthcare | Indiana HMO Medicaid | $296 |
| Humana | Indiana HMO Medicaid | $296 |
| Medicare | Medicare | $439 |
| Anthem | Medicare Advantage | $439 |
| Aetna | Medicare Advantage | $439 |
| Humana | Medicare Advantage | $439 |
| United Heathcare | Medicare Advantage | $439 |
| Zing | Medicare Advantage | $448 |
| Anthem | Pathway Essentials | $659 |
| CareSource Maketplace | CareSource | $725 |
| Cigna | HMO | $731 |
| Cigna | PPO | $794 |
| Aetna | HMO_and_PPO_Contracted_Plans | $870 |
| Ambetter | Ambetter HealthPlan | $879 |
| Physicians Health Plan of Northern Indiana | PHP | $1,101 |
| United Healthcare | Navigate and Core payer | $1,104 |
| Encore | Combined | $1,142 |
| Anthem BCBS | Individual On Exchange | $1,169 |
| Aetna | FirstHealth | $1,186 |
| United Healthcare | HMO_and_PPO_Contracted_Plans | $1,187 |
| Phcs | PPO | $1,295 |
| Siho | PPO | $1,333 |
| Sagamore | PPO | $1,371 |
| Multiplan | PPO | $1,390 |
| Aetna | Coventry | $1,409 |
| Hfn | EPO | $1,485 |
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