Emergency visit, high (level 4) at Three Rivers Health. CPT 99284.
What Three Rivers Health publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$774cash price (self-pay)
$1,190list price
$238–$2,009range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MI Medicaid | $239 |
| McLaren | MI Medicaid | $239 |
| Molina | MI Medicaid | $239 |
| Priority Health | MI Medicaid | $239 |
| UHC | MI Medicaid | $239 |
| Devoted Healthcare | Medicare Advantage | $340 |
| Molina | Medicare Advantage | $389 |
| BCBS of Michigan | Medicare Advantage | $421 |
| Humana | Medicare Advantage | $421 |
| McLaren | Medicare Advantage | $421 |
| Meridian | Medicare Advantage | $421 |
| Priority Health | Medicare Advantage | $421 |
| UHC | Medicare Advantage | $421 |
| CHA | Employer Group 4 | $714 |
| BCBS of Michigan | Commercial | $744 |
| McLaren | Commercial | $759 |
| Plain Church | Commercial | $792 |
| Aetna | Commercial | $925 |
| CHA | Commercial | $1,047 |
| Priority Health | Commercial | $1,083 |
| Meridian | Commercial | $1,190 |
| UHC | Commercial | $1,467 |
Inpatient
$774cash price (self-pay)
$1,190list price
$238–$1,190range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $238 |
| Molina | MI Medicaid | $357 |
| Molina | Medicare Advantage | $357 |
| BCBS of Michigan | Commercial | $737 |
| McLaren | Commercial | $759 |
| CHA | Employer Group 4 | $893 |
| Aetna | Commercial | $925 |
| Plain Church | Commercial | $952 |
| Priority Health | Commercial | $952 |
| CHA | Commercial | $1,047 |
| Meridian | Commercial | $1,190 |
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