Emergency visit, high (level 4) at Froedtert Hospital. CPT 99284.
What Froedtert Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$711cash price (self-pay)
$2,011list price
$426–$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 |
| Molina | Medicare Advantage | $433 |
| Network Health Plan | Medicare Advantage | $433 |
| Quartz | Medicare Advantage | $433 |
| Security Health Plan | Medicare Advantage | $433 |
| Upper Peninsula Health Plan | Medicare Advantage | $433 |
| Humana Choice | Medicare Advantage | $433 |
| ICare | Medicare Advantage | $433 |
| United Healthcare | Medicare Advantage/Dual | $433 |
| Wellcare | Medicare Advantage | $441 |
| Care Wisconsin/MyChoice | Medicare Advantage | $446 |
| Medical College of Wisconsin | Employee Plan | $664 |
| Chorus Community Health Plan | All Contracted Commercial Plans | $784 |
| Froedtert South | All Contracted Commercial Plans | $804 |
| Centivo | WI 2 Median | $845 |
| Centivo | WI 1 Broad | $965 |
| Health Partners | All Contracted Commercial Plans | $1,247 |
| Wisconsin Physician Services Statewide Alliance | All Contracted Comme | $1,267 |
| Trilogy | All Contracted Commercial Plans | $1,307 |
| Aetna | All Contracted Commercial Plans | $1,307 |
| Health Payment Systems | All Contracted Commercial Plans | $1,323 |
| Cigna | All Contracted Commercial Plans | $1,569 |
| Security Health Plan | All Contracted Commercial Plans | $1,581 |
| Dean Health Plan | All Contracted Commercial Plans | $1,609 |
| HealthEos | All Contracted Commercial Plans | $1,609 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $1,609 |
| Group Health Cooperative | All Contracted Commercial Plans | $1,609 |
| HealthSmart | All Contracted Commercial Plans | $1,669 |
Inpatient
$711cash price (self-pay)
$2,011list price
$840–$2,361range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Trilogy | All Contracted Commercial Plans | $1,307 |
| Aetna | All Contracted Commercial Plans | $1,307 |
| Health Payment Systems | All Contracted Commercial Plans | $1,323 |
| Security Health Plan | All Contracted Commercial Plans | $1,581 |
| Dean Health Plan | All Contracted Commercial Plans | $1,609 |
| HealthEos | All Contracted Commercial Plans | $1,609 |
| Multiplan/Private Healthcare Systems | All Contracted Commercial Plans | $1,609 |
| Group Health Cooperative | All Contracted Commercial Plans | $1,609 |
| HealthSmart | All Contracted Commercial Plans | $1,669 |
| Wisconsin Physician Services | All Contracted Commercial Plans | $1,709 |
| First Health Network | All Contracted Commercial Plans | $1,740 |
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