Emergency visit, high (level 4) at Marshfield Medical Center Beaver Dam Hospital. CPT 99284.
What Marshfield Medical Center Beaver Dam Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$1,435cash price (self-pay)
$1,511list price
$406–$2,298range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana / ChoiceCare | Medicare Advantage | $406 |
| Managed Health Services | D-SNP/HMO/PPO | $406 |
| Molina Healthcare of WI | Medicare Advantage | $406 |
| Network Health Plan | Medicare Advantage | $406 |
| Quartz | Medicare Advantage | $406 |
| Security Health Plan (SHP) | Medicare Advantage | $406 |
| UnitedHealth Group of WI | Medicare Advantage | $406 |
| Veteran's Administration (VA CCN) | VA Network | $406 |
| Anthem BCBS of WI | Medicare Advantage | $418 |
| Group Health Cooperative of Eau Claire | Medicare Advantage | $430 |
| iCare | Medicare Advantage | $434 |
| Anthem BCBS of WI | HMO/POS | $530 |
| The Alliance | PPO Network/Premier | $767 |
| Security Health Plan (SHP) | EPO/HMO/SimplyOne | $785 |
| Anthem BCBS of WI | PPO | $796 |
| Anthem BCBS of WI | Traditional | $796 |
| Amish/Mennonite | Amish Mennonite | $831 |
| Security Health Plan (SHP) | Broad | $873 |
| WPS Health Insurance | PPO | $1,017 |
| Health Payment Systems | PPO Network | $1,052 |
| Cigna | PPO | $1,118 |
| Humana / ChoiceCare | HMO | $1,194 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $1,239 |
| Network Health Plan | HMO | $1,262 |
| First Health | PPO Network | $1,284 |
| Molina Healthcare of WI | HMO | $1,284 |
| Humana / ChoiceCare | PPO | $1,345 |
| Trilogy | PPO | $1,360 |
| Trilogy | Third Party | $1,360 |
| HealthEOS by MultiPlan Inc. | PPO Network | $1,405 |
Inpatient
$1,435cash price (self-pay)
$1,511list price
$785–$1,451range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan (SHP) | EPO/HMO/SimplyOne | $785 |
| Amish/Mennonite | Amish Mennonite | $831 |
| Security Health Plan (SHP) | Broad | $873 |
| WPS Health Insurance | PPO | $1,017 |
| Cigna | PPO | $1,027 |
| Health Payment Systems | PPO Network | $1,052 |
| Humana / ChoiceCare | HMO | $1,194 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $1,239 |
| Network Health Plan | HMO | $1,262 |
| First Health | PPO Network | $1,284 |
| Molina Healthcare of WI | HMO | $1,284 |
| Humana / ChoiceCare | PPO | $1,345 |
| Trilogy | PPO | $1,360 |
| Trilogy | Third Party | $1,360 |
| HealthEOS by MultiPlan Inc. | PPO Network | $1,405 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $1,435 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $1,435 |
| Health Partners | PPO | $1,435 |
| Coventry | Workers Comp | $1,451 |
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All common services at Marshfield Medical Center Beaver Dam Hospital