Emergency visit, high (level 4) at Marshfield Medical Center Hospital. CPT 99284.
What Marshfield Medical Center Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$1,667cash price (self-pay)
$1,755list price
$404–$3,790range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Security Health Plan (SHP) | Medicare Advantage | $404 |
| Anthem BCBS of WI | Medicare Advantage | $416 |
| Group Health Cooperative of Eau Claire | Medicare Advantage | $429 |
| Family Health Center (FHC) | Prepaid Health Svcs | $878 |
| Amish/Mennonite | Amish Mennonite | $965 |
| Sanford Health Plan | Commercial | $965 |
| The Alliance | Premier SAS | $1,220 |
| The Alliance | Premier | $1,257 |
| The Alliance | Exception Members | $1,351 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $1,439 |
| The Alliance | PPO Network | $1,465 |
| Besse Forest Products | Direct Employer | $1,492 |
| Molina Healthcare of WI | HMO | $1,492 |
| Rice Lake School District | Direct Employer | $1,492 |
| Trilogy | Commercial | $1,580 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $1,615 |
| Medica of WI | PPO | $1,629 |
| Cigna | PPO | $1,650 |
| HealthEOS by MultiPlan Inc. | PPO Network | $1,650 |
| Medica of WI | Medica Care System | $1,662 |
| CORVEL | Third Party | $1,667 |
| First Health | PPO Network | $1,667 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $1,667 |
| Health Partners | PPO | $1,667 |
| Three Rivers Provider Network (TRPN) | Commercial | $1,667 |
| Three Rivers Provider Network (TRPN) | Third Party | $1,667 |
| Coventry | Workers Comp | $1,685 |
| Health Smart | PPO Network | $1,685 |
| Trilogy | Third Party | $1,685 |
| Rising Medical Work Comp | Workers Comp | $1,702 |
Inpatient
$1,667cash price (self-pay)
$1,755list price
$965–$1,702range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amish/Mennonite | Amish Mennonite | $965 |
| Sanford Health Plan | Commercial | $965 |
| The Alliance | Exception Members | $1,351 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $1,439 |
| The Alliance | PPO Network | $1,446 |
| Besse Forest Products | Direct Employer | $1,492 |
| Molina Healthcare of WI | HMO | $1,492 |
| Rice Lake School District | Direct Employer | $1,492 |
| Trilogy | Commercial | $1,580 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $1,615 |
| Cigna | PPO | $1,650 |
| HealthEOS by MultiPlan Inc. | PPO Network | $1,650 |
| Medica of WI | Medica Care System | $1,662 |
| CORVEL | Third Party | $1,667 |
| First Health | PPO Network | $1,667 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $1,667 |
| Health Partners | PPO | $1,667 |
| Three Rivers Provider Network (TRPN) | Commercial | $1,667 |
| Three Rivers Provider Network (TRPN) | Third Party | $1,667 |
| Coventry | Workers Comp | $1,685 |
| Health Smart | PPO Network | $1,685 |
| Trilogy | Third Party | $1,685 |
| WPS Health Insurance | Indemnity | $1,694 |
| Rising Medical Work Comp | Workers Comp | $1,702 |
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