Emergency visit, high (level 4) at Edgerton Hospital and Health Services. CPT 99284.
What Edgerton Hospital and Health Services publishes for this service, straight from its standard-charges file, last updated July 19, 2026.
Outpatient / ER
$174cash price (self-pay)
$1,203list price
$55.00–$221range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Default | $55.00 |
| Quartz | Default | $88.00 |
| Alliance Healthplans of WI | Default | $221 |
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All common services at Edgerton Hospital and Health Services