Emergency visit, high (level 4) at Methodist Fremont Hospital. CPT 99284.
What Methodist Fremont Hospital publishes for this service, straight from its standard-charges file, last updated February 16, 2026.
Outpatient / ER
$156cash price (self-pay)
$1,397list price
$179–$11,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Medica Medicare Advantage | $413 |
| Molina Medicare Advantage | Molina Medicare Advantage | $417 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $433 |
| Aetna | Aetna Medicare Advantage | $457 |
| BCBS | BCBS Medicare Advantage | $457 |
| United Healthcare | UHC Medicare Advantage | $457 |
| Humana | Humana Medicare Advantage | $457 |
| Elevate by Medica | Elevate by Medica | $489 |
| Elite Choice | Elite Choice | $578 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $584 |
| Alliance NHN | Alliance NHN | $612 |
| BCBS | BCBS Select | $698 |
| BCBS | BCBS | $704 |
| Midlands Choice | Midlands Choice | $797 |
| Medica Choice | Medica Choice | $820 |
| NE Furniture Mart | NE Furniture Mart | $826 |
| Multiplan | Multiplan | $998 |
| Aetna | Aetna | $1,064 |
| United Healthcare | UHC | $1,808 |
Inpatient
$517cash price (self-pay)
$1,397list price
$1,160–$11,679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NE Furniture Mart | NE Furniture Mart | $1,160 |
| BCBS | BCBS | $1,187 |
| BCBS | BCBS Select | $1,187 |
| Medica Choice | Medica Choice | $1,229 |
| Multiplan | Multiplan | $1,257 |
| United Healthcare | UHC | $1,259 |
| Midlands Choice | Midlands Choice | $1,313 |
| Aetna | Aetna | $1,341 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.