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Emergency visit, high (level 4) at North Shore Hospital. CPT 99284.

What North Shore Hospital publishes for this service, straight from its standard-charges file, last updated April 25, 2025.

Outpatient / ER

$124cash price (self-pay)
$634list price
$47.70–$1,040range insurers pay
Insurance planNegotiated rate
UCare | Medicare Select$116
UCare | Medical Assistance$122
UCare | MinnesotaCare$122
UCare | Minnesota Senior Care Plus$122
UCare | Minnesota Special Needs Basic Care$122
UCare | Minnesota Senior Health Options$122
UCare | Medicare Advantage$122
UCare | Individual and Family Plans$134
Aetna | First Health Network$250

Inpatient

$124cash price (self-pay)
$912list price
$47.70–$1,040range insurers pay
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All common services at North Shore Hospital