Emergency visit, high (level 4) at Covenant HealthCare. CPT 99284.
What Covenant HealthCare publishes for this service, straight from its standard-charges file, last updated May 15, 2026.
Outpatient / ER
$266cash price (self-pay)
$1,014list price
$118–$915range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthy Michigan Blue Cross Complete | Managed Medicaid | $223 |
| Healthy Michigan McLaren | Managed Medicaid | $223 |
| Healthy Michigan Meridian | Managed Medicaid | $223 |
| Healthy Michigan Molina | Managed Medicaid | $223 |
| Healthy Michigan Priority Health | Managed Medicaid | $223 |
| Aetna | Medicare Advantage | $426 |
| Blue Care Network | Medicare Advantage | $426 |
| Health Alliance Plan of Michigan | Medicare Advantage | $426 |
| Humana | PPO Medicare Advantage | $426 |
| McLaren Advantage | Medicare Advantage | $426 |
| Molina Healthplan | Medicare Advantage | $426 |
| Physicians Health Plan Advantage/Advantage Plus | HMO Medicare Advanta | $426 |
| Priority Health | Medicare Advantage | $426 |
| McLaren Health Advantage | Commercial | $456 |
| Priority Health E | Commercial | $466 |
| Health Advantage McLaren Employee | Commercial | $558 |
| Physicians Health Plan | Commercial | $558 |
| Priority Health | PPO | $558 |
| Cigna | Commercial | $559 |
| Blue Care Network | Commercial | $565 |
| Blue Cross Anthem | Commercial | $565 |
| Blue Cross Blue Shield Traditional | Commercial | $565 |
| Blue Cross Trust | Commercial | $565 |
| Aetna/Aetna Select | Commercial | $745 |
| Health Alliance Plan of Michigan | HMO | $746 |
| Humana | Commercial | $761 |
| Meritain Health | Commercial | $776 |
| Health Alliance Plan of Michigan | PPO | $823 |
| Multiplan | Commercial | $913 |
Inpatient
$710cash price (self-pay)
$1,016list price
$456–$915range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| McLaren Health Advantage | Commercial | $457 |
| Priority Health E | Commercial | $467 |
| Priority Health | PPO | $559 |
| Physicians Health Plan | Commercial | $559 |
| Health Advantage McLaren Employee | Commercial | $559 |
| Cigna | Commercial | $559 |
| Aetna/Aetna Select | Commercial | $746 |
| Humana | Commercial | $762 |
| Meritain Health | Commercial | $777 |
| Multiplan | Commercial | $914 |
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