Emergency visit, high (level 4) at Bronson South Haven Hospital. CPT 99284.
What Bronson South Haven Hospital publishes for this service, straight from its standard-charges file, last updated August 3, 2026.
Outpatient / ER
$205cash price (self-pay)
$1,518list price
$75.40–$1,518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Priority Health | Choice Medicaid | $146 |
| UHCCP | Medicaid | $146 |
| UHC | Medicaid | $146 |
| BCBS | Complete | $154 |
| Meridian | Medicaid | $154 |
| Cofinity | Commercial | $171 |
| Aetna | Medicare | $267 |
| BCBS | Mappo | $267 |
| BCN | Medicare Advantage | $267 |
| Health Alliance Plan | Medicare Advantage | $267 |
| Pace | Swmi | $267 |
| PHP | Medicare Advantage | $267 |
| Priority Health | Medicare | $267 |
| Railroad Medicare | Medicare | $267 |
| Uhccp | Dnsp | $267 |
| UHC | Dual Complete DSNP/Medicare Advantage | $267 |
| Meridian | Complete - MI Health Link - DSNP/Wellcare - Medicare Advant | $280 |
| Molina | Medicare/Medicaid | $294 |
| PACE | Medicare | $395 |
| Priority Health | Narrow Network | $405 |
| UHC | Exchange | $408 |
| Humana | Choice PPO Medicare | $416 |
| Mclaren | Medicaid | $416 |
| Mclaren | Medicare | $416 |
| MI Amish Medical Board | Commercial | $478 |
| Priority Health | Cigna Priority Health/HMO/PPO/Tiered Network | $480 |
| Allen County Amish Medical Aid | Commercial | $520 |
| Amish Plain Church Group | Commercial | $520 |
| Opus (Opus Packaging Group) | HMA | $665 |
| Nomi Health | Commercial | $694 |
Inpatient
$1,215cash price (self-pay)
$1,518list price
$1,139–$1,518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Opus (Opus Packaging Group) | HMA | $1,139 |
| Encore Health Key Benefits | Commercial | $1,215 |
| Nomi Health | Commercial | $1,245 |
| BCBS | Trust/PPO | $1,247 |
| BCN | Commercial | $1,247 |
| Multiplan/Beech St/PHCS | Commercial | $1,291 |
| UHC | All Payor (Choice/PPO) + Core | $1,336 |
| Aetna | Commercial | $1,367 |
| Mclaren | Commercial | $1,367 |
| Cofinity | Commercial | $1,427 |
| Asr | Asr | $1,473 |
| Healthscope | Commercial | $1,473 |
| Healthscope | Whirlpool | $1,518 |
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