Emergency visit, high (level 4) at UofL Health - Mary & Elizabeth Hospital. CPT 99284.
What UofL Health - Mary & Elizabeth Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$663cash price (self-pay)
$1,842list price
$309–$1,842range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Pathway PPO/HMO | $309 |
| Passport | Molina KY Medicaid | $323 |
| UHC | KY Medicaid | $332 |
| WellCare | KY Medicaid | $332 |
| Anthem | PPO/HMO | $333 |
| Anthem | Traditional | $333 |
| Aetna | Better Health KY Medicaid | $349 |
| Humana | KY Medicaid | $349 |
| Humana | Military Tricare | $368 |
| Senior Care Community of KY | Medicare Advantage | $388 |
| Anthem | Medicare Advantage | $399 |
| Cigna | Commercial | $399 |
| Essence Health | Medicare Advantage | $399 |
| Humana | MA Private FFS | $399 |
| Humana | PPO/HMO Medicare Advantage | $399 |
| Va Ccn | Va Ccn | $399 |
| CommuniCare | Medicare Advantage | $419 |
| Velocity | Medicare Advantage | $485 |
| Key Benefit Administrators | Commercial | $519 |
| WellCare | Commercial | $543 |
| Devoted | Medicare Advantage | $553 |
| Prime Group Health | Workers Comp | $626 |
| Velocity | Group Health | $698 |
| Passport | Commercial | $737 |
| UHC | Commercial | $879 |
| Passport | Medicare Advantage | $921 |
| Signature | Medicare Advantage | $921 |
| Encore | Commercial | $1,105 |
| Multiplan | Commercial | $1,216 |
| Prime Group Health | Commercial | $1,382 |
Inpatient
$663cash price (self-pay)
$1,842list price
$553–$1,842range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted | Medicare Advantage | $553 |
| Prime Group Health | Workers Comp | $626 |
| Passport | Commercial | $737 |
| Anthem | Pathway PPO/HMO | $737 |
| Anthem | PPO/HMO | $793 |
| Anthem | Traditional | $793 |
| Passport | Medicare Advantage | $921 |
| Signature | Medicare Advantage | $921 |
| Encore | Commercial | $1,105 |
| Multiplan | Commercial | $1,216 |
| Prime Group Health | Commercial | $1,382 |
| Velocity | Auto | $1,474 |
| Prime Group Health | Auto | $1,566 |
| Multiplan | Workers Comp | $1,658 |
| OMCA | Commercial | $1,750 |
| Velocity | Workers Comp | $1,805 |
| CSHN | Commercial | $1,842 |
| Corvel | Commercial | $1,842 |
| Health Smart | Commercial | $1,842 |
| National Comp Care | Commercial | $1,842 |
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All common services at UofL Health - Mary & Elizabeth Hospital