Emergency visit, high (level 4) at Froedtert Bluemound Rehabilitation Hospital. CPT 99284.
What Froedtert Bluemound Rehabilitation Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
—cash price (self-pay)
—list price
$433–$5,302range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield | Medicare Advantage | $433 |
| Community Care | Medicare Advantage | $433 |
| Health Partners | Medicare Advantage | $433 |
| Humana Choice | Medicare Advantage | $433 |
| ICare | Medicare Advantage | $433 |
| Molina | Medicare Advantage | $433 |
| Network Health Plan | Medicare Advantage | $433 |
| Priority Health | Medicare Advantage | $433 |
| Quartz | Medicare Advantage | $433 |
| Security Health Plan | Medicare Advantage | $433 |
| United Healthcare | Medicare Advantage/Dual | $433 |
| Upper Peninsula Health Plan | Medicare Advantage | $433 |
| Aetna | Medicare Advantage | $441 |
| Wellcare | Medicare Advantage | $441 |
| Care Wisconsin/MyChoice | Medicare Advantage | $446 |
| Network Health Plan | Marketplace Plans | $2,464 |
| Network Health Plan | All Contracted Commercial Payers | $2,738 |
| United Healthcare | Nexus | $2,933 |
| Sheboygan Employers Health Network | All Contracted Commercial Payers | $2,979 |
| United Healthcare/United Medical Resources | Choice Plus/Navigate | $3,564 |
| United Healthcare/United Medical Resources | Options PPO | $4,278 |
| Anthem Blue Cross Blue Shield | Blue Preferred/POS | $5,302 |
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All common services at Froedtert Bluemound Rehabilitation Hospital