Emergency visit, high (level 4) at Bellin Health Oconto Hospital. CPT 99284.
What Bellin Health Oconto Hospital publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$619cash price (self-pay)
$1,336list price
$209–$3,688range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthpartners | Select | $209 |
| Security Health Plan | Medicare Advantage | $387 |
| Healthpartners | Focus | $413 |
| Healthpartners | Broad | $446 |
| ANTHEM | Managed Medicare | $454 |
| COMMUNITY CARE | Medicare Advantage | $454 |
| HUMANA | Medicare Advantage | $454 |
| Managed Health Service | Medicare Advantage | $454 |
| My Choice | Medicare Advantage | $454 |
| Network Health | Medicare Advantage | $454 |
| United Health Care | Medicare Advantage | $548 |
| AETNA | Medicare | $668 |
| Anthem | Managed Medicaid | $868 |
| Common Ground | ALL PRODUCTS | $895 |
| United Health Care | PPO Options | $927 |
| United Health Care | HMO | $927 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $935 |
| Chorus Community Health Plan | ALL PRODUCTS | $1,002 |
| Aspirus Arise | ALL PRODUCTS | $1,016 |
| HEALTHSMART | Medical Rental Network | $1,069 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $1,069 |
| IHS(ClaimsBridge) | Medical Rental Network | $1,069 |
| Medical College of WI | Self-funded employer | $1,069 |
| Multiplan/Healtheos | All Products | $1,069 |
| WPS Insurance | BROAD | $1,107 |
| Allied National | Core Value Programs | $1,136 |
| FIRST HEALTH | Medical Rental Network | $1,136 |
| Galaxy Health | All Products | $1,136 |
| Network Health | ALL PRODUCTS | $1,136 |
| Security Health Plan | All Products | $1,136 |
Inpatient
$619cash price (self-pay)
$1,336list price
$387–$1,202range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Common Ground | ALL PRODUCTS | $922 |
| United Health Care | PPO Options | $934 |
| United Health Care | HMO | $934 |
| Cigna Health and Life Insurance Company | ALL PRODUCTS | $951 |
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