Emergency visit, high (level 4) at Ochsner LSU Health Monroe. CPT 99284.
What Ochsner LSU Health Monroe publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$201cash price (self-pay)
$875list price
$140–$1,520range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Better Health (Healthy Louisiana) | All Payor | $140 |
| Amerihealth Caritas Louisiana (Healthy Louisiana) | All Payor | $140 |
| Healthy Blue (Formerly Amerigroup Louisiana Inc.) | All Payor | $140 |
| Humana � Managed Medicaid (Healthy Louisiana) | All Payor | $140 |
| Louisiana Healthcare Connections (Healthy Louisiana) | All Payor | $140 |
| United Healthcare Community Plan (Healthy Louisiana) | All Payor | $140 |
| Verity Health Network � Lsu First Choice | All Payor | $367 |
| Humana Military � Tricare | All Payor | $373 |
| Zelis | All Payor | $387 |
| (Healthy Louisiana) And Healthy Blue Dual Advantage (HMO-D-Snp) | All | $387 |
| Aetna Health Inc. - Medicare Advantage | All Payor | $387 |
| American Health Advantage Of Louisiana (Formerly Dignity Health Plan)- | $387 |
| Blue Cross Blue Shield Of Louisiana Medicare Advantage Product(S) | Al | $387 |
| Humana � Medicare Advantage | All Payor | $387 |
| Optum Va Ccn | All Payor | $387 |
| Peoples Health Network � Medicare Advantage | All Payor | $387 |
| United Healthcare - Medicare Advantage | All Payor | $387 |
| United Healthcare D-Snp (Dual Eligible Special Needs Plan) | All Payor | $387 |
| Vantage Health Plan - Commercial | All Payor | $542 |
| Aetna Health Inc. PPO/POS | All Payor | $569 |
| First Health Network | All Payor | $569 |
| Multiplan/Phcs/American Lifecare | All Payor | $612 |
| Usa Managed Care Network | All Payor | $656 |
| Cigna Healthcare | All Payor | $673 |
| Blue Cross Blue Shield Of Louisiana- Blue High-Performance Network | | $855 |
| Blue Cross Blue Shield Of Louisiana Blue Connect | All Payor | $855 |
| Blue Cross Blue Shield Of Louisiana HMO | All Payor | $855 |
| Blue Cross Blue Shield Of Louisiana PPO | All Payor | $855 |
| Healthcomp PPO (Formerly Gilsbar 360 | All Payor | $968 |
| United Healthcare - Commercial Heritage | All Payor | $1,363 |
Inpatient
$201cash price (self-pay)
$875list price
—range insurers pay
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