Emergency visit, high (level 4) at Johnson Memorial Health Services. CPT 99284.
What Johnson Memorial Health Services publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$298cash price (self-pay)
$794list price
$88.15–$1,216range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBSMN Blue Plus MCD Rep Plan DOS after 1/1/19 | All Plans | $283 |
| United Healthcare | Medicare Advantage | $303 |
| Blue Cross Blue Shield of MN | Medicare Advantage | $376 |
| Medicare A MN J6 | All Plans | $412 |
| Blue Cross Blue Shield of MN | HMO | $614 |
| United Healthcare | All Commercial Plans | $684 |
| Blue Cross Blue Shield of MN | All Commercial Plans | $717 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.