Emergency visit, high (level 4) at mercy hospital. CPT 99284.
What mercy hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$784cash price (self-pay)
$1,206list price
$1.10–$2,644range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CARESOURCE | Managed Medicaid | $57.72 |
| ANTHEM | Managed Medicaid | $58.84 |
| MOLINA | Managed Medicaid | $58.84 |
| AMERIHEALTH | Managed Medicaid | $61.64 |
| Buckeye | Managed Medicaid | $61.89 |
| Aetna | Medicare Advantage | $118 |
| Summacare | Premier | $131 |
| Anthem | All Products Mid-Level Non-Facility | $164 |
| United | All Products - Mid-Level | $209 |
| Zing Health | Medicare Advantage | $218 |
| United | All Products | $230 |
| MMO | Medicare HMO & PPO | $267 |
| HUMANA | Medicare Advantage HMO | $393 |
| Aetna | Medicare Advantage | $395 |
| Anthem | Medicare Advantage | $395 |
| Cigna | Medicare Advantage | $407 |
| CommuniCare | MEDICARE ADVANTAGE | $415 |
| Cc Ehp | All Products | $430 |
| Summacare | Medicare Advantage Lower Level | $460 |
| Aultcare | PPO/HMO | $742 |
| Summacare | Preferred | $844 |
| Anthem | Hpn | $848 |
| Mmo | All Products | $884 |
| ANTHEM | Exchange | $890 |
| Anthem | PPO/HMO | $988 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,322 |
| AETNA | Asa_Whirlpool_Peia | $1,336 |
| Cigna | All Products | $1,400 |
| AETNA | International | $1,403 |
| Ohcp | All Products | $1,428 |
Inpatient
$1,910cash price (self-pay)
$2,938list price
$831–$2,644range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $1,060 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,469 |
| Anthem | Traditional | $1,676 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.