Emergency visit, high (level 4) at Amberwell Hiawatha Association. CPT 99284.
What Amberwell Hiawatha Association publishes for this service, straight from its standard-charges file, last updated August 18, 2026.
Outpatient / ER
$687cash price (self-pay)
$1,127list price
$105–$2,608range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Mcr Adv | Aetna Mcr Adv | $369 |
| Humana Mcr Adv - All Plans | Humana Mcr Adv - All Plans | $369 |
| UHC Mcr Adv | UHC Mcr Adv | $369 |
| BCBS Blue Choice | BCBS Blue Choice | $426 |
| Ambetter Comm - All Plans | Ambetter Comm - All Plans | $431 |
| BCBS Cap - All Other Plans | BCBS Cap - All Other Plans | $443 |
| Oscar - All Plans | Oscar - All Plans | $676 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $690 |
| Centrus Health Direct - All Plans | Centrus Health Direct - All Plans | $726 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $744 |
| Preferred Hlth - All Plans | Preferred Hlth - All Plans | $766 |
| Cigna/Hlth Partners - All Plans | Cigna/Hlth Partners - All Plans | $828 |
| Multiplan - All Plans | Multiplan - All Plans | $840 |
| Wppa Providrs Care - All Plans | Wppa Providrs Care - All Plans | $846 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $869 |
| Healthy Blue Mcaid - All Plans | Healthy Blue Mcaid - All Plans | $1,357 |
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