Emergency visit, high (level 4) at Norton Scott Hospital. CPT 99284.
What Norton Scott Hospital publishes for this service, straight from its standard-charges file, last updated June 3, 2026.
Outpatient / ER
$151cash price (self-pay)
$755list price
$75.80–$1,419range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $75.80 |
| Managed Health Services (MHS) | Managed Medicaid | $75.80 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $166 |
| United Healthcare | Medicare Advantage | $177 |
| Managed Health Services (MHS) Healthy Indiana Plan (HIP) | Managed Med | $181 |
| MDwise Healthy Indiana Plan (HIP) | Managed Medicaid | $181 |
| Managed Health Services (MHS) | Medicare Advantage | $181 |
| CommuniCare Advantage | Medicare Advantage | $187 |
| CareSource Indiana Just4Me | Commercial | $272 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $425 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $425 |
| United Healthcare | VACCN | $426 |
| Anthem Blue Cross Blue Shield | Medicare Select | $435 |
| Molina Healthcare | Dual Medicare-Medicaid | $439 |
| Molina Healthcare | Medicare Advantage | $439 |
| United Healthcare | Commercial | $450 |
| Molina Healthcare | Managed Medicaid | $451 |
| Prime Health | Commercial | $642 |
| MultiPlan | Commercial | $642 |
| Encore Health Network | PPO | $642 |
| Ppom | PPO | $664 |
| InterCommunity Health Network (IHN) | Commercial | $680 |
| Aetna | Commercial | $696 |
| Cigna | Commercial | $1,419 |
Inpatient
$151cash price (self-pay)
$755list price
$424–$680range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $425 |
| Anthem Blue Cross Blue Shield of Indiana | Exchange/Pathway Essentials | $425 |
| Anthem Blue Cross Blue Shield | Medicare Select | $443 |
| United Healthcare | Commercial | $450 |
| MultiPlan | Commercial | $604 |
| Encore Health Network | PPO | $642 |
| Prime Health | Commercial | $642 |
| Ppom | PPO | $664 |
| InterCommunity Health Network (IHN) | Commercial | $680 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.