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Emergency visit, high (level 4) at Henry Ford Genesys Hospital. CPT 99284.

What Henry Ford Genesys Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$885cash price (self-pay)
$2,108list price
$149–$906range insurers pay
Insurance planNegotiated rate
Hap Php | 419_hap Php 20200101$149
Genesee Health Plan | 648_medicaid Replacement Genesee Health Plan Out$248
Medicaid | 649_mi Medicaid Outpatient 20250101$248
Medicaid Replacement | 650_medicaid Replacement HMO Outpatient 2025010$248
Cigna | 638_cigna 20241001$263
Priority Health | 641_priority Health 20241001$297
Medicare Replacement | 652_medicare Replacement Outpatient 20250101$427
Veteran'S Choice | 651_veteran'S Choice Outpatient 20250101$427
Meridian Medicare | 653_medicare Advantage Meridian Outpatient 2025010$449
BCBS Bcn Nonpho | 614_bcn Non Pho 20220401$653
BCBS Trad | 615_blue Cross Blue Shield Traditional 20220401$653
Bcn Jvhl (M16) | 617_bcn Non Pho 20220401 Ppc M16$653
BCBS Trust Nonpho | 616_blue Cross Blue Shield Trust Non Pho 20220401$660
Health Plus | 420_healthplus 20200101$738
Hap HMO | 655_hap Outpatient 20250101$753

Inpatient

—cash price (self-pay)
—list price
$248–$906range insurers pay
Insurance planNegotiated rate
Medicare Replacement | 657_medicare Replacement Inpatient 20251001$427
Veteran'S Choice | 604_veteran'S Choice Inpatient 20211001$427
Meridian Medicare | 658_medicare Advantage Meridian Inpatient 20251001$449
Consumers Mutual | 576_consumers Mutual Inpatient 20211001$581
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All common services at Henry Ford Genesys Hospital