Emergency visit, high (level 4) at Aspirus Tomahawk Hospital. CPT 99284.
What Aspirus Tomahawk Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$437cash price (self-pay)
$672list price
$54.76–$626range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Of Wisconsin, Inc. | United Healthcare Wisconsin Med | $54.76 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl | $55.86 |
| Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica | $55.86 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $62.69 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $83.86 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | $107 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $107 |
| Aetna | Medicare Advantage Esa | $108 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $109 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | $109 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Plus Hmo | $109 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Pl | $109 |
| Tricare West | Tricare Plans | $109 |
| United Healthcare Of Wisconsin, Inc. | Va Community Care Network | $109 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Medicare Adva | $112 |
| United Healthcare Of Wisconsin, Inc. | United Healthcare Hmo/Ppo/Pos/E | $244 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $267 |
| Multiplan, Inc | Multiplan Ppo Network Plans | $294 |
| Security Health Plan Of Wisconsin, Inc. | Security Administrative Serv | $305 |
| Forest County Potowatomi | Forest County Potowatomi Aspirus Network Pl | $321 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $337 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Hmo Pla | $376 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Pos Pla | $381 |
| Wps Health Plan | Wps Statewide Ppo/Pos/Epo Plans | $420 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $470 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Access Ppo | $494 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Hmo | $494 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Federal Employee Prog | $494 |
| Cigna | Cigna Ppo And Open Access Plus Benefit Plans | $500 |
| Group Health Cooperative Of Eau Claire | Group Health Cooperative Comm | $522 |
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