Emergency visit, high (level 4) at Henry Ford Wyandotte Hospital:. CPT 99284.
What Henry Ford Wyandotte Hospital: publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$179cash price (self-pay)
$401list price
$75.40–$1,347range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HAP | HAP Caresource Medicaid-FAC | $75.40 |
| Aetna Better Health | Medicaid HMO-Adult-FAC | $76.91 |
| Aetna Better Health | Medicaid HMO-Child-FAC | $76.91 |
| Humana Military | Tricare-NonPhysician-FAC | $96.33 |
| ScriptGuideRX | All Products | $98.02 |
| Humana | Medicare Advantage-NP-FAC | $106 |
| Humana | Medicare Advantage-Physician-NONFAC | $106 |
| Humana | Medicare Advantage-NP-NONFAC | $106 |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $107 |
| HAP | Medicare Advantage-NonPhysician-FAC | $107 |
| HAP | Medicare Advantage-NonPhysician-NONFAC | $107 |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $107 |
| Humana Military | Tricare-Physician-FAC | $113 |
| Amerihealth Caritas | Dual Products-NONFAC | $123 |
| Amerihealth Caritas | Dual Products-FAC | $123 |
| Humana | Medicare Advantage-Physician-FAC | $124 |
| Cofinity | All Products | $125 |
| Aetna | Medicare Advantage-NONFAC | $126 |
| Aetna | Medicare Advantage-FAC | $126 |
| Blue Cross | BCN Medicare Advantage -FAC | $126 |
| Blue Cross | Medicare Plus Blue-FAC | $126 |
| Blue Cross | BCN Medicare Advantage -NONFAC | $126 |
| Blue Cross | Medicare Plus Blue-NONFAC | $126 |
| HAP | HAP Dual Products-FAC | $126 |
| HAP | HAP Dual Products-NONFAC | $126 |
| HAP | Medicare Advantage-FAC | $126 |
| HAP | Medicare Advantage-NONFAC | $126 |
| HAP | Medicare Advantage-Physician-NONFAC | $126 |
| HAP | Medicare Advantage-Physician-FAC | $126 |
| Humana | Medicare Advantage-FAC | $126 |
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