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Emergency visit, high (level 4) at cleveland clinic main campus. CPT 99284.

What cleveland clinic main campus publishes for this service, straight from its standard-charges file, last updated June 16, 2026.

Outpatient / ER

$784cash price (self-pay)
$2,938list price
$1.10–$3,196range insurers pay
Insurance planNegotiated rate
Paramount | Managed Medicaid$69.66
Buckeye | Managed Medicaid$71.02
CARESOURCE | Managed Medicaid$72.35
ANTHEM | Managed Medicaid$75.97
Aetna | Medicare Advantage$118
PPHP | All Products$127
AETNA | Medicare Advantage Transplant$160
AETNA | All Products Transplant$160
Zing Health | Medicare Advantage$218
Anthem | All Products Physician Non-Facility$250
Aetna | Medicare Advantage$395
Anthem | Medicare Advantage$395
CIGNA | Medicare Advantage Lifesource$395
Devoted Health | Medicare Advantage$395
Cigna | Medicare Advantage$407
CommuniCare | MEDICARE ADVANTAGE$415
Cc Ehp | All Products$452
Summacare | Preferred$755
Aultcare | PPO/HMO$908
Amish Community Aid Plan | ALL PRODUCTS$1,322
AETNA | Acop$1,325
Mmo | Nasco$1,406
Healthsmart | All Products$1,616
AETNA | Asa_Whirlpool_Peia$1,616
Evernorth (Cigna BH) | All Products Psychiatrist$1,658
Anthem | Hpn$1,729
AETNA | International$1,753
Clarity Health | ALL PRODUCTS$1,910
Anthem | PPO/HMO$2,034
AETNA | Qhp/Ipf$2,057

Inpatient

$1,910cash price (self-pay)
$2,938list price
$831–$2,644range insurers pay
Insurance planNegotiated rate
Oscar | All Products$1,060
Summacare | Preferred$1,337
Summacare | PREMIER$1,454
Amish Community Aid Plan | ALL PRODUCTS$1,469
Healthsmart | All Products$1,763
Anthem | Traditional$2,430
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All common services at cleveland clinic main campus