Emergency visit, high (level 4) at Aspirus Merrill Hospital. CPT 99284.
What Aspirus Merrill Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$437cash price (self-pay)
$672list price
$43.12–$626range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Health Services Insurance Corp. | All Plans | $43.12 |
| United Healthcare Of Wisconsin, Inc. | All Plans | $45.63 |
| Anthem Blue Cross Blue Shield Wisconsin | All Plans | $46.54 |
| Group Health Cooperative Of Eau Claire | All Plans | $46.54 |
| Security Health Plan Of Wisconsin, Inc. | All Plans | $47.00 |
| Tricare West | Tricare Plans | $95.40 |
| Forest County Potowatomi | Forest County Potowatomi Self-Funded Ppo Pl | $109 |
| Tricare West | All Plans | $109 |
| United Healthcare Of Wisconsin, Inc. | Va Community Care Network | $109 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $214 |
| First Health Group Corp | All Plans | $219 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $223 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | All P | $267 |
| Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv | $305 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $337 |
| Bone & Joint Clinic, Sc | Bone & Joint Health Self-Funded Ppo Plans | $341 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $365 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $420 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog | $420 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $420 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $423 |
| Multiplan, Inc | Multiplan Ppo Network Plans | $485 |
| Group Health Cooperative Of Eau Claire | Group Health Cooperative Comm | $522 |
| Multiplan, Inc | Health Eos Ppos Network Plans | $587 |
| First Health Group Corp | First Health National Rental Ppo Network | $605 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $606 |
| Healthpartners | All Plans | $614 |
| Cigna | All Plans | $625 |
| Multiplan, Inc | Aetna Health Plan Ppo Networks | $626 |
| Multiplan, Inc | All Plans | $626 |
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