Emergency visit, high (level 4) at CHI Health St. Francis. CPT 99284.
What CHI Health St. Francis publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$991cash price (self-pay)
$1,679list price
$230–$7,972range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial|ACO | $230 |
| Amerigroup | Medicaid|All Plans | $347 |
| Centene | Medicaid|IA Total Care | $347 |
| IAMolina | Medicaid|All Plans | $354 |
| United | Medicaid|Community Plan | $386 |
| Centene | Medicaid|NE Total Care | $390 |
| BCBS - NE | Medicare|All Plans | $408 |
| Humana | Medicare|All Plans | $408 |
| Medica | Medicare|All Plans | $408 |
| United | Medicare|All Plans | $408 |
| Centene | Medicare|All Plans | $421 |
| Amerigroup | Medicare|All Plans | $429 |
| Great Plains | Medicare|All Plans | $429 |
| AMPS | Commercial|All Plans | $906 |
| Creighton University Employees | Commercial|All Plans | $923 |
| Medica | Commercial|CHI Health | $1,035 |
| United | Commercial|All Plans | $1,058 |
| ELAP | Commercial|All Plans | $1,075 |
| Medica | Commercial|All Other Plans | $1,215 |
| Medica | Commercial|Open Access | $1,394 |
| Midlands Choice | Commercial|Premier | $1,394 |
| Midlands Choice | Commercial|Standard | $1,578 |
| MultiPlan PHCS | Commercial|All Plans | $1,578 |
| Greater Omaha Packing | Commercial|Narrow Network | $6,932 |
| Millard Public Schools | Commercial|Narrow Network | $6,932 |
| One World | Commercial|Narrow Network | $6,932 |
| Greater Omaha Packing | Commercial|Broad Network | $7,972 |
| Millard Public Schools | Commercial|Broad Network | $7,972 |
| One World | Commercial|Broad Network | $7,972 |
| Timpte | Commercial|Broad Network | $7,972 |
Inpatient
$991cash price (self-pay)
$1,679list price
$923–$1,578range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $923 |
| United | Commercial|All Plans | $1,343 |
| Medica | Commercial|Open Access | $1,394 |
| Midlands Choice | Commercial|Premier | $1,394 |
| Midlands Choice | Commercial|Standard | $1,578 |
| MultiPlan PHCS | Commercial|All Plans | $1,578 |
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