Emergency visit, high (level 4) at Mercy Hospital. CPT 99284.
What Mercy Hospital publishes for this service, straight from its standard-charges file, last updated June 17, 2026.
Outpatient / ER
$617cash price (self-pay)
$1,285list price
$259–$2,604range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UCare PMAP (A B C D E G N O S U R H) | UCare PMAP (ABDMNORSUV) | $259 |
| Blue Cross Blue Shield of Minnesota | BC PMAP (AMU) | $263 |
| Medica PMAP (UM) | Medica PMAP (UM) | $285 |
| Health Partners | HPI Medicare (AMU) | $388 |
| All Other Medicaid | All Other Medicaid (M) | $398 |
| Medicaid | Medicaid MA (M) | $398 |
| Allina Aetna Medicare (M) | Allina Aetna Medicare (M) | $409 |
| South Country Health Alliance | SCHA PMAP (M) | $409 |
| Health Partners | HPI PMAP (AMU) | $424 |
| Medicare Other | All Other Medicare (M) | $430 |
| Medicare | Medicare (M) | $430 |
| Medica | Medica Medicare (M) | $447 |
| BCBS | BC Medicare (M) | $452 |
| Hennepin Health | Hennepin Health (M) | $453 |
| South Country Health Alliance | SCHA MSHO (M) | $481 |
| UHC Ubh Pmap | UHC Ubh Pmap (M) | $497 |
| Blue Cross Blue Shield of Minnesota | BC State Health Plan (MU) | $600 |
| Blue Cross Blue Shield of Minnesota | BC Premier (M U) | $637 |
| Health Partners | HPI (U M) | $718 |
| Aetna | Aetna Elevate (AMU) | $735 |
| BCBS | Bc Aehp (Mu) | $749 |
| Blue Cross Blue Shield of Minnesota | BC AWARE/Blue Plus (A M U) | $759 |
| Aetna | Aetna Performance (AMU) | $791 |
| Blue Cross Blue Shield of Minnesota | BC High Value/Performance Networ | $805 |
| Americas PPO (Araz)(A M U) | Americas PPO (Araz)(A M U) | $860 |
| Medica Dual Solutions (E G) | Medica Dual Solutions (M) | $966 |
| Medica UBH PMAP | Medica UBH PMAP (M) | $1,028 |
| Health Partners | HPI CIGNA (MU) | $1,066 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,079 |
| Medica UBH (M) | Medica UBH (M) | $1,079 |
Inpatient
$617cash price (self-pay)
$1,285list price
$860–$1,079range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Americas PPO (Araz)(A M U) | Americas PPO (Araz)(A M U) | $860 |
| Medica UBH (M) | Medica UBH (M) | $899 |
| First Health (A C E G H U B D N O R S) | First Health (ABDMNOSURV) | $1,079 |
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