Emergency visit, high (level 4) at Olivia Hospital. CPT 99284.
What Olivia Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$255cash price (self-pay)
$897list price
$72.82–$889range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Medicaid Replacement [950295] | BCBS Pmap [95296] | $115 |
| Medica Medicaid Replacement [950298] | Medica Choice Care Pmap [50314] | $127 |
| Hp Medicare Replacement [950306] | Hp Medicare Advantage [95307] | $217 |
| BCBS Medicare Replacement [950296] | BCBS Medicare Advantage [50299] | $220 |
| UHC Medicare Replacement [950281] | UHC Medicare Advantage PPO [50275] | $224 |
| Medica Medicare Replacement [950299] | Medica Government Advantage [50 | $226 |
| Ucare Medicaid Replacement [950289] | Ucare Pmap [50283] | $227 |
| Hp Medicaid Replacement [950307] | Hp Care Pmap [50327] | $298 |
| Healthpartners [900713] | Hp Self Insured [91021] | $574 |
| Medica [900156] | Medica Choice [90156] | $596 |
| First Health Network [950334] | First Health Network [95334] | $638 |
| BCBS [900043] | BCBS Mn [90043] | $638 |
| Unitedhealthcare [900444] | UHC [50131] | $889 |
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