Emergency visit, high (level 4) at Monroe Hospital. CPT 99284.
What Monroe Hospital publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$439cash price (self-pay)
$1,706list price
$296–$1,778range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | BCBS Medicaid - Hoosier Healthwise | $296 |
| Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $296 |
| Care Source | Care Source Medicaid - Hoosier Healthwise | $296 |
| Traditional Medicaid | Traditional Medicaid | $296 |
| United Healthcare | UHC Medicaid CHIP - Hoosier Care | $296 |
| BCBS | BCBS Medicaid - Healthy Indiana Plan - HIP | $439 |
| BCBS | BCBS Medicare | $439 |
| Care Source | Care Source Medicare | $439 |
| Traditional Medicare | Traditional Medicare | $439 |
| Tricare | Tricare | $439 |
| UHC Optum VA CCN | UHC VA CCN | $439 |
| United Healthcare | UHC Medicare | $439 |
| USA Senior Care Network | USA Senior Care Network Medicare | $439 |
| Worthington Christian Fellowship | Worthington Christian Fellowship Me | $439 |
| Aetna | Aetna Medicare | $439 |
| Monroe Medical Group and Managed Health Services | Monroe Medical Grou | $448 |
| Provider Partners Health Plan | Provider Partners Health Plan Medicare | $483 |
| Employer Direct Healthcare | Employer Direct Healthcare Surgery Plus M | $615 |
| Care Source | Care Source Exchange - QHP | $637 |
| Corvel Workers Compensation | Corvel Workers Compensation | $764 |
| BCBS Workers Compensation | BCBS Workers Compensation | $791 |
| Zelis Healthcare FKA Stratose | Zelis Healthcare FKA Stratose Wokers C | $835 |
| Multiplan | Multiplan Workers Compensation | $852 |
| Prime Health Services | Prime Health Services Workers Compensation | $852 |
| Three Rivers | Three Rivers Workers Compensation | $852 |
| Americas Choice Provider Network ACPN | Americas Choice Provider Netwo | $852 |
| Encore Health Network Workers Compensation | Encore Health Network Wor | $861 |
| Provider Select | Provider Select Workers Compensation | $870 |
| Provider Network Of America | Provider Network Of America Workers Comp | $879 |
| Workers Compensation | Workers Compensation | $879 |
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