Emergency visit, high (level 4) at DMC Huron Valley-Sinai Hospital. CPT 99284.
What DMC Huron Valley-Sinai Hospital publishes for this service, straight from its standard-charges file, last updated May 20, 2026.
Outpatient / ER
$2,620cash price (self-pay)
$3,775list price
$1.00–$1,356range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar Health Plan | Oscar Health Plan Hix | $159 |
| Blue Cross/Blue Shield | BCBS Exchange | $406 |
| Blue Cross/Blue Shield | BCBS Blue Care Network | $495 |
| Blue Cross/Blue Shield | BCBS Traditional | $495 |
| Blue Cross/Blue Shield | BCBS Trust PPO | $495 |
| Blue Cross/Blue Shield | Bluecrossblueshield Mi | $679 |
| United Healthcare | United Healthcare All Other Products | $966 |
| United Healthcare | United Healthcare Options PPO | $1,048 |
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