Emergency visit, high (level 4) at Mount Carmel East. CPT 99284.
What Mount Carmel East publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$40.48cash price (self-pay)
$6,456list price
$15.73–$16,996range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medigold Medicare Advantage | Medigold Medicare Advantage | $347 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $387 |
| Blue Cross - Oh (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $387 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $395 |
| Medical Mutual Medicare | Medical Mutual Medicare Advantage | $395 |
| The Health Plan | Health Plan Of Ohio Valley Medicare Adv | $403 |
| Molina Medicare Advantage | Molina Medicare Advantage | $406 |
| Aetna Medicare Advantage | Aetna Better Health Medicare Advantage | $406 |
| Caresource Medicare | Caresource Medicare Advantage | $407 |
| Univera Healthcare Medicare Advantage | Universal Medicare Advantage | $415 |
| Ohio Safe Program | Safe Program | $632 |
| Crime Victim Assistance | Safe Program | $632 |
| Oscar | Oscar | $651 |
| Medical Mutual | Medical Mutual Medflex | $989 |
| Western & Southern Financial Group | Medical Mutual Oh Supermed PPO Po | $1,373 |
| Medical Mutual | Medical Mutual Oh Supermed PPO POS HMO | $1,373 |
| Blue Shield - Wa (Regence) | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Wa (Premera) | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Distinction Transplant | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Benefit Administrators Of Massachusetts | Anthem Blue Access PPO | $1,501 |
| BCBS Generic | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Va (Carefirst) | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Federal | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Wy | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Wv (Highmark) | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Vt | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Va (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Mt | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Blue Cross - Nj (Horizon) | Anthem Blue Access PPO Blue Pref HMO | $1,501 |
| Ohio Health Choice | Ohio Health Choice | $2,270 |
Inpatient
$40.48cash price (self-pay)
$40.48list price
$12.06–$276range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Pace Of Southwest Michigan | Pb Xr 100% Default | $158 |
| Dentaquest | Pb Xr 100% Default | $158 |
| Rx Allwin | Pb Xr 100% Default | $158 |
| Molina Medicare Advantage | Pb Xr 100% Default | $158 |
| Health Choices | Pb Xr 100% Default | $158 |
| Union Health Service | Pb Xr 100% Default | $158 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $158 |
| Everence | Pb Xr 100% Default | $158 |
| Blue Cross - NY (Anthem) Medicaid Advantage | Pb Xr 100% Default | $158 |
| Affinity Health Plan Medicaid Advantage | Pb Xr 100% Default | $158 |
| Highmark Wholecare Medicaid | Pb Xr 100% Default | $158 |
| Dscc | Pb Xr 100% Default | $158 |
| Massachusetts Behavioral Health Partnership | Pb Xr 100% Default | $158 |
| Medicaid - In | Pb Xr 100% Default | $158 |
| Rx United Healthcare | Pb Xr 100% Default | $158 |
| Medicaid - Nm | Pb Xr 100% Default | $158 |
| Rx Scriptnet | Pb Xr 100% Default | $158 |
| Medicaid - Nj | Pb Xr 100% Default | $158 |
| Medicaid - Nc | Pb Xr 100% Default | $158 |
| Rx Triple S Salud | Pb Xr 100% Default | $158 |
| Rx Ohio Bwc | Pb Xr 100% Default | $158 |
| Rx Mercycare | Pb Xr 100% Default | $158 |
| Breast Grant-Connecticut | Pb Xr 100% Default | $158 |
| Rx Ventegra | Pb Xr 100% Default | $158 |
| Maryland Breast & Cervical Program | Pb Xr 100% Default | $158 |
| Rx Capital Rx | Pb Xr 100% Default | $158 |
| Rx Mcauley Clinic | Pb Xr 100% Default | $158 |
| Medicaid - Wi | Pb Xr 100% Default | $158 |
| Rx Paper Claims | Pb Xr 100% Default | $158 |
| Rx Cerpassrx | Pb Xr 100% Default | $158 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.