Emergency visit, high (level 4) at Baptist Health La Grange. CPT 99284.
What Baptist Health La Grange publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$2,161cash price (self-pay)
$2,881list price
$259–$5,763range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Mcaid | Humana Mcaid | $259 |
| UHC Mcaid | UHC Mcaid | $259 |
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $259 |
| Aetna Better Hlth Mcaid | Aetna Better Hlth Mcaid | $259 |
| Wellcare Mcaid - All Plans | Wellcare Mcaid - All Plans | $557 |
| Anthem Bhs1 | Anthem Bhs1 | $710 |
| Aetna New Bus | Aetna New Bus | $1,109 |
| Healthlink-All Plans | Healthlink-All Plans | $1,336 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $1,400 |
| Anthem Blue Trad - All Other Plans | Anthem Blue Trad - All Other Plan | $1,450 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $1,482 |
| Anthem Indiv On/Off Exch | Anthem Indiv On/Off Exch | $1,703 |
| Anthem Blue Access PPO | Anthem Blue Access PPO | $1,703 |
| Anthem Blue Pref HMO | Anthem Blue Pref HMO | $1,703 |
| Anthem Path HMO | Anthem Path HMO | $1,703 |
| Anthem Path Hpn | Anthem Path Hpn | $1,703 |
| Phcs-All Plans | Phcs-All Plans | $2,017 |
| Siho-All Plans | Siho-All Plans | $2,305 |
| Multiplan-All Plans | Multiplan-All Plans | $2,449 |
| Center Care-All Plans | Center Care-All Plans | $2,575 |
| Cigna - All Plans | Cigna - All Plans | $2,715 |
| Passport Mcr Adv - All Other Plans | Passport Mcr Adv - All Other Plan | $2,881 |
| Passport Mcr/Mcd Adv | Passport Mcr/Mcd Adv | $2,881 |
| Signature Adv - All Plans | Signature Adv - All Plans | $2,881 |
| Aetna Mcr Adv | Aetna Mcr Adv | $2,881 |
| Anthem Mcr Adv | Anthem Mcr Adv | $2,896 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $3,025 |
| Caresource-All Plans | Caresource-All Plans | $5,186 |
| Ambetter/Wcare Direct Ind - All Other Plans | Ambetter/Wcare Direct In | $5,549 |
| Ambetter/Wcare Ind Mrkt | Ambetter/Wcare Ind Mrkt | $5,549 |
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