Emergency visit, high (level 4) at Ascension St. Francis Hospital. CPT 99284.
What Ascension St. Francis Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,767cash price (self-pay)
$3,334list price
$314–$4,880range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wps | 1272_wisconsin Physician Services PPO 20250701 | $314 |
| Medicare Replacement | 1205_medicare Replacement Outpatient 20250101 | $413 |
| Veterans Administration | 1208_veteran Administration Outpatient 20250 | $413 |
| Smart Health | 1206_smarthealth Outpatient 20250101 | $579 |
| Network Health | 1289_network Health Plan 20250701 | $2,147 |
| Anthem Pathways | 1242_anthem Pathways 20250101 | $2,562 |
| United Health Care | 1282_united Health Care 20250701 | $2,684 |
| Cchp | 1280_cchp 20250701 | $2,877 |
| Anthem Blue Connection | 1277_anthem Blue Connection 20250701 | $2,987 |
| Sehn | 1171_sehn 20241001 | $3,030 |
| Anthem HMO POS | 1275_anthem HMO POS 20250701 | $3,127 |
| Health Payment Systems | 1284_health Payment Systems 20250701 | $3,979 |
| Anthem PPO | 1276_anthem PPO 20250701 | $4,880 |
Inpatient
—cash price (self-pay)
—list price
$413–$579range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Replacement | 1321_medicare Replacement Inpatient 20251001 | $413 |
| Veterans Administration | 1323_veteran Administration Inpatient 202510 | $413 |
| Smart Health | 1317_smarthealth Inpatient 20251001 | $579 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.