Emergency visit, high (level 4) at Saint Joseph Regional Medical Center-Plymouth Campus. CPT 99284.
What Saint Joseph Regional Medical Center-Plymouth Campus publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$40.48cash price (self-pay)
$253list price
$6.48–$3,215range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Health Services - Indiana | Managed Health Services | $202 |
| Caresource Medicaid | Caresource Medicaid | $296 |
| Physicians Health Plan Northern Indiana Health Insurance | Select Php | $684 |
| Blue Cross - Nc | Anthem BCBS | $1,559 |
| Blue Shield - NY Highmark Northeastern | Anthem BCBS | $1,559 |
| Blue Cross - Mo (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - Al | Anthem BCBS | $1,559 |
| Blue Cross - Co (Anthem) | Anthem BCBS | $1,559 |
| Blue Shield - CA | Anthem BCBS | $1,559 |
| Blue Cross - CA (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - Dc (Carefirst) | Anthem BCBS | $1,559 |
| Blue Cross - De (Highmark) | Anthem BCBS | $1,559 |
| Blue Cross - Ct (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - Hi | Anthem BCBS | $1,559 |
| Blue Cross - Ga (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - Sd (Wellmark) | Anthem BCBS | $1,559 |
| Blue Cross - Oh (Anthem) | Anthem BCBS | $1,559 |
| Blue Cross - Ar | Anthem BCBS | $1,559 |
| Blue Cross - Az | Anthem BCBS | $1,559 |
| Blue Cross - Ak (Premera) | Anthem BCBS | $1,559 |
| Blue Cross - Va (Carefirst) | Anthem BCBS | $1,559 |
| Blue Cross - Va (Anthem) | Anthem BCBS | $1,559 |
| Blue Shield - NY Highmark Western | Anthem BCBS | $1,559 |
| Blue Cross - Pa (Independence) | Anthem BCBS | $1,559 |
| Blue Cross - Or (Regence) | Anthem BCBS | $1,559 |
| Blue Cross - Ok | Anthem BCBS | $1,559 |
| Blue Cross - Ri | Anthem BCBS | $1,559 |
| Blue Shield - Pa (Highmark) | Anthem BCBS | $1,559 |
| Blue Cross - FL | Anthem BCBS | $1,559 |
| Blue Cross - Ky (Anthem) | Anthem BCBS | $1,559 |
Inpatient
$259cash price (self-pay)
$259list price
$76.68–$259range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - IL | Medicaid | $83.69 |
| Medicaid - Id | Medicaid | $94.78 |
| Molina Medicare Advantage | Medicare | $109 |
| Rx Allwin | Medicare | $109 |
| Medicaid - Ky | Medicaid | $110 |
| Medicaid - Md | Medicaid | $110 |
| Medicaid - Me | Medicaid | $110 |
| Medicaid - Ga | Medicaid | $110 |
| Medicaid - Hi | Medicaid | $110 |
| Medicaid - In | Medicaid | $110 |
| Medicaid - Co | Medicaid | $110 |
| Keystone First Chip | Medicaid | $110 |
| Breast Grant-Connecticut | Medicaid | $110 |
| Maryland Breast & Cervical Program | Medicaid | $110 |
| Oregon Screenwise | Medicaid | $110 |
| Medicaid - Wa | Medicaid | $110 |
| Medicaid - Wi | Medicaid | $110 |
| Medicaid - Wy | Medicaid | $110 |
| Medicaid Oos Nhi | Medicaid | $110 |
| Pace Of Southwest Michigan | Medicaid | $110 |
| Medicaid - TX | Medicaid | $110 |
| Amish Mennonite | Medicaid | $110 |
| Blue Cross - Hi | Anthem BCBS | $204 |
| Blue Cross - Id | Anthem BCBS | $204 |
| Blue Cross - Ky (Anthem) | Anthem BCBS | $204 |
| Blue Cross - Co (Anthem) | Anthem BCBS | $204 |
| Blue Cross - Ct (Anthem) | Anthem BCBS | $204 |
| Blue Cross - De (Highmark) | Anthem BCBS | $204 |
| Blue Cross - FL | Anthem BCBS | $204 |
| Blue Cross - Az | Anthem BCBS | $204 |
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All common services at Saint Joseph Regional Medical Center-Plymouth Campus