Emergency visit, high (level 4) at Grand Lake Health System. CPT 99284.
What Grand Lake Health System publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$456cash price (self-pay)
$780list price
$414–$674range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana | Medicare Mgd Care | $424 |
| Caresource Advantage | Medicare Mgd Care | $426 |
| Medical Mutual Advantage | Medicare Mgd Care | $430 |
| Aetna | Medicare Mgd Care | $434 |
| Medical Mutual Of Ohio | All Commercial | $496 |
| Caresource Marketplace | All Commercial | $544 |
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