Emergency visit, high (level 4) at Three Rivers Medical Center. CPT 99284.
What Three Rivers Medical Center publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$2,107cash price (self-pay)
$3,512list price
$70.35–$3,161range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health Mcaid | Aetna Better Health Mcaid | $70.35 |
| Anthem Mcaid | Anthem Mcaid | $74.05 |
| Humana Choicecare Mcaid | Humana Choicecare Mcaid | $74.05 |
| United Healthcare Mcaid | United Healthcare Mcaid | $74.05 |
| Wellcare Mcaid-All Plans | Wellcare Mcaid-All Plans | $77.75 |
| Anthem Mcr Adv | Anthem Mcr Adv | $419 |
| Anthem Trad/PPO/HMO/Pw PPO - All Other Plans | Anthem Trad/PPO/HMO/Pw | $1,125 |
| United Healthcare-All Other Plans | United Healthcare-All Other Plans | $1,956 |
| Multiplan Primary Network-All Other Plans | Multiplan Primary Network- | $2,107 |
| Humana-All Other Plans | Humana-All Other Plans | $2,353 |
| Cigna-All Plans | Cigna-All Plans | $2,986 |
| Multiplan Complementary Network | Multiplan Complementary Network | $2,986 |
| Aetna-All Other Plans | Aetna-All Other Plans | $3,161 |
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