Emergency visit, high (level 4) at Marshfield Medical Center Rice Lake Hospital. CPT 99284.
What Marshfield Medical Center Rice Lake Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$970cash price (self-pay)
$1,021list price
$404–$3,550range 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 |
| Point Comfort Underwriters | Organizational | $445 |
| Family Health Center (FHC) | Prepaid Health Svcs | $511 |
| Amish/Mennonite | Amish Mennonite | $562 |
| Sanford Health Plan | Commercial | $562 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $837 |
| Molina Healthcare of WI | HMO | $868 |
| The Alliance | Exception Members | $970 |
| The Alliance | PPO Network | $970 |
| Besse Forest Products | Direct Employer | $970 |
| Cigna | PPO | $970 |
| CORVEL | Third Party | $970 |
| First Health | PPO Network | $970 |
| HealthEOS by MultiPlan Inc. | PPO Network | $970 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $970 |
| Health Partners | PPO | $970 |
| Rice Lake School District | Direct Employer | $970 |
| Medica of WI | Medica Care System | $975 |
| Trilogy | Commercial | $975 |
| Coventry | Workers Comp | $980 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $980 |
| Health Smart | PPO Network | $980 |
| Rising Medical Work Comp | Workers Comp | $990 |
| Medica of WI | Medica Choice/Medica Health Plan Solutions/Medica Ind. | $994 |
| Three Rivers Provider Network (TRPN) | Commercial | $1,001 |
| Three Rivers Provider Network (TRPN) | Third Party | $1,001 |
| Security Health Plan (SHP) | SimplyOne Region 3 | $2,111 |
| Security Health Plan (SHP) | SimplyOne Region 2 | $2,321 |
Inpatient
$970cash price (self-pay)
$1,021list price
$562–$1,001range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amish/Mennonite | Amish Mennonite | $562 |
| Sanford Health Plan | Commercial | $562 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $837 |
| UnitedHealth Group of WI | PPO | $841 |
| Molina Healthcare of WI | HMO | $868 |
| The Alliance | PPO Network | $965 |
| The Alliance | Exception Members | $970 |
| Besse Forest Products | Direct Employer | $970 |
| Cigna | PPO | $970 |
| CORVEL | Third Party | $970 |
| First Health | PPO Network | $970 |
| HealthEOS by MultiPlan Inc. | PPO Network | $970 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $970 |
| Health Partners | PPO | $970 |
| Rice Lake School District | Direct Employer | $970 |
| Medica of WI | Medica Care System | $975 |
| Trilogy | Commercial | $975 |
| Coventry | Workers Comp | $980 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $980 |
| Health Smart | PPO Network | $980 |
| Trilogy | Third Party | $980 |
| Rising Medical Work Comp | Workers Comp | $990 |
| Medica of WI | Medica Choice/Medica Health Plan Solutions/Medica Ind. | $994 |
| WPS Health Insurance | PPO/Select 65+ | $995 |
| Three Rivers Provider Network (TRPN) | Commercial | $1,001 |
| Three Rivers Provider Network (TRPN) | Third Party | $1,001 |
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All common services at Marshfield Medical Center Rice Lake Hospital