Emergency visit, high (level 4) at Norton Clark Hospital. CPT 99284.
What Norton Clark Hospital publishes for this service, straight from its standard-charges file, last updated June 3, 2026.
Outpatient / ER
$227cash price (self-pay)
$1,622list price
$446–$1,419range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | VACCN | $446 |
| MDwise Health Indiana Plan (HIP) | Managed Medicaid | $446 |
| Managed Health Services (MHS) Healthy Indiana Plan (HIP) | Managed Med | $446 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $446 |
| Aetna | Medicare Advantage | $459 |
| CommuniCare Advantage | Medicare Advantage | $459 |
| Molina Healthcare of Indiana | Medicare Advantage | $459 |
| Molina Healthcare of Indiana | Dual Medicare-Medicaid | $459 |
| Managed Health Services (MHS) | Medicare Advantage | $468 |
| Managed Health Services (MHS) | Commercial Exchange | $647 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $648 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $648 |
| Cigna | Commercial | $661 |
| Anthem Blue Cross Blue Shield | Medicare Select | $747 |
| Aetna | Commercial | $795 |
| United Healthcare | Commercial | $1,312 |
| PPOM | Commercial | $1,419 |
Inpatient
$227cash price (self-pay)
$1,622list price
$698–$1,419range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $698 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $698 |
| PPOM | Commercial | $1,419 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.