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Emergency visit, high (level 4) at Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.). CPT 99284.

What Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

—cash price (self-pay)
—list price
$194–$305range insurers pay
Insurance planNegotiated rate
Network Health Plan | 1136_network Health Plan 20221001$194
Humana HMO POS | 1127_humana 20221001$283
Humana PPO | 1133_humana PPO 20221001$283
Humana Preferred | 1134_humana Preferred 20221001$283
UHC Non Options PPO | 1130_united Health Care Nonoptions 20221001$283
Alliance | 1066_alliance 20220101$305
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All common services at Ascension Sacred Heart Rehabilitation Hospital (Sacred Heart Rehabilitation Institute, Inc.)