Emergency visit, high (level 4) at Aspirus Keweenaw Hospital. CPT 99284.
What Aspirus Keweenaw Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$437cash price (self-pay)
$672list price
$47.00–$652range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $47.00 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $77.24 |
| Upper Pennisula Health Plan | Michigan Medicaid | $77.24 |
| Tricare East | Tricare Plans | $116 |
| United Healthcare Of Wisconsin, Inc. | Va Community Care Network | $116 |
| Forest County Potowatomi | Forest County Potowatomi Self-Funded Ppo Pl | $120 |
| Blue Cross Blue Shield Of Michigan | Blue Cross Blue Shield Of Michiga | $167 |
| Blue Cross Blue Shield Of Michigan | Blue Care Network | $239 |
| Multiplan, Inc | Health Eos Ppos Network Plans | $267 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $278 |
| First Health Group Corp | First Health National Rental Ppo Network | $294 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $337 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $625 |
| Aetna | Commercial & Aetna Funding Advantage Plans | $652 |
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