Emergency visit, high (level 4) at Aurora Medical Center Fond du Lac. CPT 99284.
What Aurora Medical Center Fond du Lac publishes for this service, straight from its standard-charges file, last updated November 21, 2025.
Outpatient / ER
$283cash price (self-pay)
$1,143list price
$339–$3,627range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $686 |
| HealthPartners | Broad | $857 |
| Health EOS | PPO | $914 |
| Aetna | PPO | $944 |
| United Healthcare | PPO | $962 |
| Cigna | PPO | $967 |
| Anthem | PPO | $971 |
| Aetna | HMO | $1,950 |
| United Healthcare | Exchange | $1,985 |
| United Healthcare | Charter | $2,000 |
| United Healthcare | Nexus | $2,000 |
| HealthPartners | Employee Trust Fund | $2,070 |
| United Healthcare | HMO | $2,180 |
| Cigna | PPO-GPPO | $2,200 |
| Molina Exchange | Commercial | $2,344 |
| Aurora Caregiver | Commercial | $2,400 |
| Everpointe Elite | Commercial | $2,409 |
| Centivo | Commercial | $2,513 |
| Common Ground | Employee Trust Fund | $2,543 |
| Common Ground | Envision | $2,543 |
| Common Ground | Exchange | $2,543 |
| HealthPartners | Robin | $2,642 |
| Anthem | Blue Priority | $2,693 |
| HS Technology | Commercial | $2,701 |
| Wisconsin Physician Service | Aurora Featured | $2,883 |
| Quartz One | Commercial | $2,920 |
| Wisconsin Physician Service | Arise | $3,035 |
| Wisconsin Physician Service | Statewide | $3,035 |
| Anthem | Blue Preferred | $3,274 |
| Health Payment Systems | Commercial | $3,400 |
Inpatient
$283cash price (self-pay)
$1,143list price
$339–$1,462range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health EOS Plus | Commercial | $686 |
| HealthPartners | Broad | $857 |
| Health EOS | PPO | $914 |
| Aetna | PPO | $944 |
| United Healthcare | PPO | $962 |
| Cigna | PPO | $967 |
| Anthem | PPO | $971 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.