Emergency visit, high (level 4) at Trinity Health Livingston Hospital. CPT 99284.
What Trinity Health Livingston Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$40.48cash price (self-pay)
$4,089list price
$6.48–$8,158range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mclaren Health Medicaid | Mclaren Medicaid | $233 |
| Hap Medicaid | Hap Caresource Medicaid | $233 |
| Molina Medicaid | Molina Medicaid | $238 |
| Hap | Hap HMO | $314 |
| Hap | Hap Ahlic | $314 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $408 |
| Molina Medicare Advantage | Molina Medicare Advantage | $408 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $408 |
| Hap Medicare Advantage | Hap Medicare Advantage | $408 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $408 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $408 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $470 |
| Blue Care Network | Bcn HMO | $619 |
| Kaiser Domestic | BCBS Trad / Trust | $619 |
| Blue Cross - Ne | BCBS Trad / Trust | $619 |
| Blue Cross - Al | BCBS Trad / Trust | $619 |
| Blue Cross - Ak (Premera) | BCBS Trad / Trust | $619 |
| Wellpath | Wellpath | $646 |
| Health Cost Solutions | Correct Care Solutions | $646 |
| Vitalcore | Vitalcore Physicians Group | $646 |
| Wellpath | Correct Care Solutions | $646 |
| Multiplan | Multiplan | $1,508 |
| Family Life Insurance Company | Multiplan | $1,508 |
| Manhattan Life | Multiplan | $1,508 |
| Asrm - Reliance Standard Life Insurance | Multiplan | $1,508 |
| Trinity Health Share | Multiplan | $1,508 |
| Fallon Health | Multiplan | $1,508 |
| International Benefit Administrators | Multiplan | $1,508 |
| Lifetime Benefit Solutions | Multiplan | $1,508 |
| Mvp | Multiplan | $1,508 |
Inpatient
$40.48cash price (self-pay)
$40.48list price
$6.48–$240range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Mi | Medicaid | $44.48 |
| Centene | Medicaid | $44.48 |
| Blue Cross - Nj (Horizon) Medicaid Advantage | Medicaid | $44.48 |
| Green Mountain Medicaid Advantage | Medicaid | $44.48 |
| Upmc Medicaid Advantage | Medicaid | $44.48 |
| Health Plus Phsp Medicaid Adv | Medicaid | $44.48 |
| Wi Womens Wellness | Medicaid | $44.48 |
| Upper Peninsula Health Plan (Uphp) Medicaid | Medicaid | $44.48 |
| Dean Wi Badgercare | Medicaid | $44.48 |
| Ghc Scw Wi Badgercare | Medicaid | $44.48 |
| Molina Centennial Care | Medicaid | $44.48 |
| Medicaid - Ct | Medicaid | $44.48 |
| Medicaid - De | Medicaid | $44.48 |
| Medicaid - Dc | Medicaid | $44.48 |
| Medicaid - Al | Medicaid | $44.48 |
| Medicaid - Oh | Medicaid | $44.48 |
| Medicaid - Ok | Medicaid | $44.48 |
| Medicaid - Mo | Medicaid | $44.48 |
| Medicaid - Me | Medicaid | $44.48 |
| Medicaid - Md | Medicaid | $44.48 |
| Medicaid - MA | Medicaid | $44.48 |
| Medicaid - Wv | Medicaid | $44.48 |
| Medicaid Pending | Medicaid | $44.48 |
| Jefferson Health Plans Medicaid | Medicaid | $44.48 |
| Bccp | Medicaid | $44.48 |
| Medi-Cal | Medicaid | $44.48 |
| Medi-Cal Healthnet | Medicaid | $44.48 |
| Peach State Healthplan | Medicaid | $44.48 |
| Mvp Medicaid Advantage | Medicaid | $44.48 |
| Rx Allwin | Medicare | $67.32 |
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