Emergency visit, high (level 4) at Nationwide Children's Hospital Toledo. CPT 99284.
What Nationwide Children's Hospital Toledo publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$281cash price (self-pay)
$468list price
$77.70–$1,279range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Managed Medicaid - Non-Cap | $77.70 |
| UHC | Managed Medicaid | $77.70 |
| Amerihealth | Managed Medicaid - Non-Cap | $78.45 |
| Anthem | Managed Medicaid - Non-Cap | $78.45 |
| BCHP | Managed Medicaid - Non-Cap | $78.45 |
| Humana | Managed Medicaid | $78.45 |
| Paramount | Other | $117 |
| Anthem | Managed Medicaid | $123 |
| Anthem | All Products | $146 |
| McClaren Health Plan | All Products | $152 |
| UHC | All Products | $173 |
| Aetna | All Products | $191 |
| Caresource | Just4Me/Marketplace | $282 |
| Cigna | All Products | $342 |
| OHC | All Products | $351 |
| Ohio PPO Connect | All Products | $351 |
| Tricare CHAMPUS | All Products | $405 |
| Caresource | My Care Ohio | $426 |
| Caresource | Medicare Advantage_DSNP | $426 |
| Molina | My Care Ohio | $426 |
| Molina | Medicare Advantage_DSNP | $426 |
| McClaren Health Plan - Michigan | Medicaid - MI Medicaid | $439 |
| MMO | All Products | $468 |
| Molina | Marketplace | $511 |
| Front Path Health Coalition | All Products | $1,279 |
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All common services at Nationwide Children's Hospital Toledo