Emergency visit, high (level 4) at McLaren Northern Michigan. CPT 99284.
What McLaren Northern Michigan publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$232cash price (self-pay)
$464list price
$76.68–$1,230range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid HMO/PPO | Traditional Medicaid HMO/PPO | $76.68 |
| Medicaid - United | Medicaid - United | $76.68 |
| Medicaid - Molina | Medicaid - Molina | $79.75 |
| Medicare - Priority Health | Medicare - Priority Health | $118 |
| Medicare - Humana | Medicare - Humana | $118 |
| Traditional Medicare HMO/PPO | Traditional Medicare HMO/PPO | $118 |
| Medicare - Molina | Medicare - Molina | $121 |
| Medicare - United | Medicare - United | $122 |
| Cofinity Aetna | Cofinity Aetna | $126 |
| United Healthcare | United Healthcare | $131 |
| U of M Health Plan | U of M Health Plan | $136 |
| McLaren Commercial Ins | McLaren Commercial Ins | $146 |
| Priority Health | Priority Health | $167 |
| Blue Cross Blue Shield | Blue Cross Blue Shield | $192 |
| Medicaid - Meridian | Medicaid - Meridian | $233 |
| Medicaid - Midwest | Medicaid - Midwest | $233 |
| Medicaid - Total Healthcare | Medicaid - Total Healthcare | $233 |
| Safe Response Program | Safe Response Program | $325 |
| Tricare | Tricare | $375 |
| MI Amish Medical Board | MI Amish Medical Board | $415 |
| Medicare - Fidelis | Medicare - Fidelis | $415 |
| Workers Compensation | Workers Compensation | $571 |
| Medicare - Employee Benefit Logistics | Medicare - Employee Benefit Lo | $664 |
| Cofinity Auto | Cofinity Auto | $789 |
| Cofinity group 15892 & 15893 | Cofinity group 15892 & 15893 | $968 |
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