Emergency visit, high (level 4) at CHI Saint Joseph Health - Saint Joseph London. CPT 99284.

What CHI Saint Joseph Health - Saint Joseph London publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$886cash price (self-pay)

$2,482list price

$354–$2,259range insurers pay

Insurance plan	Negotiated rate
Passport by Molina \| Medicaid\|All Plans	$354
BCBS - Anthem \| Medicare\|All Plans	$386
Humana \| Medicare\|All Plans	$386
Wellcare \| Medicare\|All Plans	$386
United \| Medicare\|All Plans	$393
Aetna \| Medicare\|All Plans	$397
Passport by Molina \| Medicare\|All Plans	$405
Wellcare \| Medicaid\|All Plans	$417
Aetna \| Medicaid\|Better Health	$521
Humana \| Medicaid\|All Plans	$521
United \| Medicaid\|All Plans	$532
BCBS - Anthem \| Medicaid\|All Plans	$547
CareSource \| Commercial\|All Plans	$772
BCBS - Anthem \| Commercial\|Pathway	$873
BCBS - Anthem \| Commercial\|HMO PPO	$1,032
United \| Commercial\|Non-Options	$1,551
United \| Commercial\|Options	$1,551
Humana \| Commercial\|All Plans	$1,787
Multiplan \| Commercial\|All Plans	$2,259

Inpatient

$886cash price (self-pay)

$2,482list price

$2,259–$2,259range insurers pay

Insurance plan	Negotiated rate
Multiplan \| Commercial\|All Plans	$2,259

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All common services at CHI Saint Joseph Health - Saint Joseph London