Emergency visit, high (level 4) at Saint Joseph Regional Medical Center - Mishawaka. CPT 99284.
What Saint Joseph Regional Medical Center - Mishawaka publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$40.48cash price (self-pay)
$1,336list price
$3.89–$3,215range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mclaren Health Medicaid | Medicaid | $229 |
| Blue Cross Complete - Mi | Medicaid | $229 |
| Priority Health Medicaid | Medicaid | $229 |
| Managed Health Services - Indiana | Managed Health Services | $296 |
| Caresource Medicaid | Caresource Medicaid | $296 |
| Blue Cross - In (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $433 |
| Pace-Trinity Health | Pace Trinity Health | $441 |
| Provider Partners Health Plan Of Indiana | Provider Partners Health Pl | $486 |
| Physicians Health Plan Northern Indiana Health Insurance | Select Php | $684 |
| Blue Cross - Ne | Anthem BCBS | $1,559 |
| Blue Cross - Oh (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - Ks | Anthem BCBS | $1,559 |
| Blue Cross - Mo (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - IL Alternate | Anthem BCBS | $1,559 |
| Blue Cross - MA | Anthem BCBS | $1,559 |
| Blue Cross - Ky (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - La | Anthem BCBS | $1,559 |
| Blue Cross - Me (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - Mn | Anthem BCBS | $1,559 |
| Blue Cross - Mi | Anthem BCBS | $1,559 |
| Blue Care Network | Anthem BCBS | $1,559 |
| Blue Cross - In (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - IL | Anthem BCBS | $1,559 |
| Blue Cross - Wi (Anthem) | Anthem BCBS | $1,559 |
| Blue Shield - Wa (Regence) | Anthem BCBS | $1,559 |
| Blue Cross - Wv (Highmark) | Anthem BCBS | $1,559 |
| Blue Cross - Va (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - FL | Anthem BCBS | $1,559 |
| Blue Cross - Ar | Anthem BCBS | $1,559 |
| Blue Cross - Sd (Wellmark) | Anthem BCBS | $1,559 |
Inpatient
$40.48cash price (self-pay)
$150list price
$6.48–$259range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicare Advantage | Medicare | $63.17 |
| Rx Allwin | Medicare | $63.17 |
| Freedom Health Medicare Advantage | Medicare | $63.17 |
| Blue Cross - Ct (Anthem) Medicare Advantage | Medicare | $63.17 |
| Blue Shield - Pa (Highmark) Medicare Advantage | Medicare | $63.17 |
| Allwell Medicare Advantage | Medicare | $63.17 |
| Dean Health Medicare Select | Medicare | $63.17 |
| Humana Medicare Advantage | Humana Medicare Advantage | $63.17 |
| Cigna Medicare Advantage | Medicare | $63.17 |
| Coventry Medicare Advantage | Medicare | $63.17 |
| Blue Cross - Mi Medicare Advantage | Medicare | $63.17 |
| Blue Shield - NY Highmark Northeastern Medicare Advantage | Medicare | $63.17 |
| Blue Shield - Id (Regence) Medicare Advantage | Medicare | $63.17 |
| Blue Cross - Oh (Anthem) Medicare Advantage | Medicare | $63.17 |
| Illinicare Health Medicare Advantage | Medicare | $63.17 |
| Blue Cross - Or (Regence) Medicare Advantage | Medicare | $63.17 |
| Carefirst Medicare Advantage | Medicare | $63.17 |
| Aetna Medicare Transplant | Medicare | $63.17 |
| Humana Medicare Transplant | Medicare | $63.17 |
| Scan Health Plan Medicare Advantage | Medicare | $63.17 |
| Gateway Health Plan | Medicare | $63.17 |
| Fidelis Medicare | Medicare | $63.17 |
| Medicaid - Nd | Medicaid | $63.91 |
| Medicaid - Al | Medicaid | $63.91 |
| Medicaid - De | Medicaid | $63.91 |
| Medicaid - Ct | Medicaid | $63.91 |
| Medicaid - Co | Medicaid | $63.91 |
| Medicaid - Ga | Medicaid | $63.91 |
| Blue Cross - In (Anthem) Medicaid Advantage | Anthem BCBS Hhc & Hhw Me | $63.91 |
| Blue Cross - In (Anthem) Medicaid Advantage | Anthem BCBS Medicaid | $63.91 |
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All common services at Saint Joseph Regional Medical Center - Mishawaka