Emergency visit, high (level 4) at union hospital. CPT 99284.
What union 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 |
|---|---|
| Buckeye | Managed Medicaid | $68.34 |
| ANTHEM | Managed Medicaid | $77.46 |
| MOLINA | Managed Medicaid | $77.46 |
| CARESOURCE | Managed Medicaid | $78.93 |
| AMERIHEALTH | Managed Medicaid | $81.15 |
| Aetna | Medicare Advantage | $118 |
| Summacare | Premier | $121 |
| CommuniCare | Medicare Advantage | $123 |
| PPHP | All Products | $127 |
| CC EHP | All Products | $134 |
| Zing Health | Medicare Advantage | $218 |
| Aultcare | MEDICARE ADVANTAGE | $336 |
| Anthem | Medicare Advantage | $393 |
| HUMANA | Medicare Advantage HMO | $393 |
| Mmo | Medicare HMO | $393 |
| Aetna | Medicare Advantage | $395 |
| Devoted Health | Medicare Advantage | $395 |
| MMO | Medicare PPO | $405 |
| Cigna | Medicare Advantage | $407 |
| CommuniCare | MEDICARE ADVANTAGE | $415 |
| Summacare | Preferred | $844 |
| Summacare | Medicare Advantage Lower Level | $844 |
| Aultcare | PPO/HMO | $897 |
| AETNA | Acop | $1,105 |
| Anthem | Hpn | $1,118 |
| Anthem | Traditional | $1,275 |
| Anthem | PPO/HMO | $1,316 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,322 |
| AETNA | Asa_Whirlpool_Peia | $1,334 |
| Cigna | All Products | $1,400 |
Inpatient
$1,910cash price (self-pay)
$2,938list price
$831–$2,644range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $1,060 |
| Anthem | Traditional | $1,299 |
| United | All Products | $1,302 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,469 |
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