Emergency visit, high (level 4) at Henry Ford Madison Heights Hospital. CPT 99284.
What Henry Ford Madison Heights Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,027cash price (self-pay)
$1,834list price
$172–$1,767range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Meridian Health Plan | 1945_medicaid Replacement Meridian Health Outpa | $172 |
| Ppom | 934_ppom 20191001 | $214 |
| Aetna PPO | 2136_aetna 20241001 | $1,320 |
| Ahlic | 2163_ahlic 20241001 | $1,767 |
| Hap HMO | 2166_health Alliance HMO 20241001 | $1,767 |
| Hap HMO | 2174_sjma Health Alliance HMO 20241001 | $1,767 |
| Hap Preferred | 2171_hap Preferred (Php) 20241001 | $1,767 |
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