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Emergency visit, high (level 4) at Mount Carmel St Anns. CPT 99284.

What Mount Carmel St Anns publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$40.48cash price (self-pay)
$3,026list price
$18.35–$4,096range insurers pay
Insurance planNegotiated rate
Medigold Medicare Advantage | Medigold Medicare Advantage$354
Aetna Medicare Advantage | Aetna Medicare Advantage$394
Blue Cross - Oh (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv$394
United Healthcare Medicare | United Healthcare Medicare Advantage$402
Hospice Mount Carmel | Mount Carmel Hospice$402
Medical Mutual Medicare | Medical Mutual Medicare Advantage$402
The Health Plan | Health Plan Of Ohio Valley Medicare Adv$410
Aetna Medicare Advantage | Aetna Better Health Medicare Advantage$414
Molina Medicare Advantage | Molina Medicare Advantage$414
Caresource Medicare | Caresource Medicare Advantage$414
Univera Healthcare Medicare Advantage | Universal Medicare Advantage$422
Blue Cross - Oh (Anthem) | Anthem BCBS Pathway HMO Hx$494
Enterprise Group Planning | Enterprise Group Planning Medicare Adv$777
Custom Design Benefits | Custom Design Benefit$841
Western & Southern Financial Group | Medical Mutual Supermed PPO POS H$1,432
Blue Cross - Oh (Anthem) | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Care Network | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - Ks | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - Mi | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - Ne | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - Va (Carefirst) | 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 - Ut (Regence) | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - TX | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - Tn | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - Ga (Anthem) | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - Dc (Carefirst) | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - NY (Excellus) | Anthem Blue Access PPO Blue Pref HMO$1,501
Blue Cross - Nm | Anthem Blue Access PPO Blue Pref HMO$1,501

Inpatient

$40.48cash price (self-pay)
$40.48list price
$12.06–$276range insurers pay
Insurance planNegotiated rate
Molina Medicare Advantage | Pb Xr 100% Default$158
The Health Plan | Pb Xr 100% Default$158
Health Choices | Pb Xr 100% Default$158
Pace Of Southwest Michigan | Pb Xr 100% Default$158
Everence | Pb Xr 100% Default$158
Commonwealth Care Alliance | Pb Xr 100% Default$158
Dentaquest | Pb Xr 100% Default$158
Rx Allwin | Pb Xr 100% Default$158
Union Health Service | Pb Xr 100% Default$158
Harvard Pilgrim Healthcare | Pb Xr 100% Default$158
Gold Advantage | Pb Xr 100% Default$158
Health Partners Medicare Advantage | Pb Xr 100% Default$158
Healthfirst Medicare Advantage | Pb Xr 100% Default$158
Healthsun Medicare Advantage | Pb Xr 100% Default$158
Moda Health Medicare Advantage | Pb Xr 100% Default$158
Blue Cross - Oh (Anthem) Medicare Advantage | Pb Xr 100% Default$158
Allwell Pa Health & Wellness Medicare Advantage | Pb Xr 100% Default$158
Jvhl Wellcare | Pb Xr 100% Default$158
Mvp Medicare Advantage | Pb Xr 100% Default$158
Fallon Health Medicare Advantage | Pb Xr 100% Default$158
Jvhl Amerihealth Caritas | Pb Xr 100% Default$158
Cmh Kalamazoo | Pb Xr 100% Default$158
Carelon Health Medicare Advantage | Pb Xr 100% Default$158
Can Community Health Inc | Pb Xr 100% Default$158
Stephenson Cty Health | Pb Xr 100% Default$158
Delaware County Department Of Health | Pb Xr 100% Default$158
Blue Cross - TX Medicare Advantage | Pb Xr 100% Default$158
Harvard Pilgrim Medicare | Pb Xr 100% Default$158
Care Resources Pace | Pb Xr 100% Default$158
Paramount Advantage | Pb Xr 100% Default$158
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All common services at Mount Carmel St Anns