Emergency visit, high (level 4) at Adena Regional Medical Center. CPT 99284.
What Adena Regional Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$931cash price (self-pay)
$1,861list price
$398–$3,251range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | Medicare Advantage | $398 |
| Medical Mutual of Ohio | Medicare Advantage | $398 |
| Molina | Medicare Advantage/Dual | $398 |
| Humana/Choice Care | Medicare Advantage | $398 |
| Medigold | Medicare Advantage | $398 |
| Buckeye Community Health Plan | Medicare Advantage | $398 |
| Aetna | Medicare Advantage | $398 |
| Gateway Health | Commercial | $406 |
| Care Source | Medicare Advantage | $406 |
| Care Source Just4Me | Commercial | $797 |
| Molina Marketplace | Commercial | $817 |
| Medical Mutual of Ohio | Managed Care | $845 |
| Sidecar Health | Commercial | $1,096 |
| Cigna | Commercial | $1,098 |
| Medical Mutual of Ohio | Traditional Commercial | $1,169 |
| Anthem | Traditional | $1,184 |
| Ohio PPO Connect | Commercial | $1,303 |
| The Health Plan | Commercial | $1,303 |
| Aetna (Cofinity/Meritain) | Commercial | $1,327 |
| United Healthcare | Commercial | $1,333 |
| First Health | Commercial | $1,459 |
| Ohio Health Choice | Commercial | $1,482 |
| HealthSmart | Emerald Health Network | $1,582 |
| Integrated Health Plan | Commercial | $1,768 |
| Three Rivers Network | Commercial | $1,768 |
| Anthem Ohio Exchange | HMO | $2,376 |
| Anthem Ohio Exchange | Pathway HMO | $2,376 |
| Anthem Ohio Exchange | PPO | $2,926 |
| Anthem | Blue Preferred/Blue Access | $3,251 |
Inpatient
$931cash price (self-pay)
$1,861list price
$845–$1,768range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medical Mutual of Ohio | Managed Care | $845 |
| Cigna | Commercial | $1,098 |
| Anthem | Traditional | $1,184 |
| The Health Plan | Commercial | $1,303 |
| Ohio PPO Connect | Commercial | $1,303 |
| Aetna (Cofinity/Meritain) | Commercial | $1,327 |
| First Health | Commercial | $1,459 |
| Ohio Health Choice | Commercial | $1,482 |
| HealthSmart | Emerald Health Network | $1,582 |
| Integrated Health Plan | Commercial | $1,768 |
| Three Rivers Network | Commercial | $1,768 |
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