Emergency visit, high (level 4) at Emplify Health Behavioral Health. CPT 99284.
What Emplify Health Behavioral Health publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$638cash price (self-pay)
$1,377list price
$209–$1,418range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Healthpartners | Select | $209 |
| AETNA | Medicare | $355 |
| COMMUNITY CARE | Medicare Advantage | $355 |
| HUMANA | Medicare Advantage | $355 |
| ICARE | Managed Medicare | $355 |
| Managed Health Service | Medicare Advantage | $355 |
| My Choice | Medicare Advantage | $355 |
| Network Health | Medicare Advantage | $355 |
| Security Health Plan | Medicare Advantage | $355 |
| WPS Insurance | BROAD | $360 |
| Healthpartners | Focus | $413 |
| ANTHEM | Managed Medicare | $426 |
| Healthpartners | Broad | $446 |
| Anthem | Priority | $826 |
| Chorus Community Health Plan | ALL PRODUCTS | $885 |
| Anthem | PPO | $923 |
| Anthem | HMO/POS | $923 |
| Aspirus Arise | ALL PRODUCTS | $923 |
| Network Health | ALL PRODUCTS | $991 |
| HPS/Paymedix | Medical Rental Network Tier 1 | $1,033 |
| Evernorth | Behavioral Health | $1,102 |
| HEALTHSMART | Medical Rental Network | $1,102 |
| HPS/PayMedix | Medical Rental Network Tier 2 | $1,102 |
| IHS(ClaimsBridge) | Medical Rental Network | $1,102 |
| Medical College of WI | Self-funded employer | $1,102 |
| Multiplan/Healtheos | All Products | $1,102 |
| Allied National | Core Value Programs | $1,170 |
| FIRST HEALTH | Medical Rental Network | $1,170 |
| Galaxy Health | All Products | $1,170 |
| Three Rivers Provider Network | Medical Rental Network | $1,239 |
Inpatient
$638cash price (self-pay)
$1,377list price
$355–$1,239range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| COMMUNITY CARE | Medicare Advantage | $774 |
| HUMANA | Medicare Advantage | $774 |
| Managed Health Service | Medicare Advantage | $774 |
| Network Health | Medicare Advantage | $774 |
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