Emergency visit, high (level 4) at Northwest Health - Starke. CPT 99284.
What Northwest Health - Starke publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$619cash price (self-pay)
$2,292list price
$111–$2,154range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| One Call | One Call Care Diagnostics WC | $111 |
| CareSource | CareSource Medicaid | $227 |
| Anthem | Anthem IN Medicaid | $296 |
| CareSource | Caresource HHW IN Medicaid | $296 |
| CareSource | Caresource IN HIP | $296 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $296 |
| Indiana Medicaid | IN Medicaid | $296 |
| IN Medicaid | IN Medicaid Non-Par | $296 |
| MHS | MHS HCC IN Medicaid | $296 |
| MHS | MHS HHW IN Medicaid | $296 |
| Managed Health Services | MHS IN HIP | $296 |
| UHC | UHC HCC IN Medicaid | $296 |
| UHC PathWays IN Medicaid | UHC PathWays IN Medicaid | $296 |
| NODE Tricare | NODE Tricare | $419 |
| NODE ChampVA | NODE ChampVA | $441 |
| Anthem | Anthem IN HIP | $473 |
| Lutheran | Lutheran Preferred | $619 |
| Self Pay | Self Pay | $619 |
| Anthem IN Work Comp | Anthem IN Work Comp | $757 |
| MedPartners | Lutheran Preferred CHS Employees | $768 |
| Physicians Health Plan | PHP Options | $947 |
| Alpha Baking | Alpha Baking | $1,031 |
| PHP | PHP Freedom Network | $1,379 |
| Anthem | Anthem IN Marketplace STLD | $1,431 |
| Anthem IN Healthsync | Anthem IN Healthsync | $1,467 |
| Encore | Encore Combined PPO | $1,490 |
| UHC Apa | UHC Apa | $1,606 |
| United Healthcare | UHC Core | $1,622 |
| Anthem | Anthem IN HMO PPO TRAD | $1,789 |
| MultiPlan Inc | MultiPlan Complementary | $1,833 |
Inpatient
$1,260cash price (self-pay)
$2,292list price
$768–$2,154range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MedPartners | Lutheran Preferred CHS Employees | $768 |
| Self Pay | Self Pay | $1,260 |
| Encore | Encore Combined PPO | $1,490 |
| Cigna All | Cigna All | $1,902 |
| MultiPlan Inc | MultiPlan Complementary | $1,948 |
| Aetna | Aetna NAP | $1,982 |
| Coventry First Health | Coventry First Health | $1,982 |
| Encore | Encore | $1,994 |
| Lutheran Network | Lutheran Preferred Choice | $2,017 |
| Sagamore Health Network | Sagamore | $2,017 |
| Community Health Alliance | Community Health Alliance | $2,062 |
| MultiPlan Inc | MultiPlan Primary | $2,062 |
| PPOM | Cofinity | $2,154 |
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