Emergency visit, high (level 4) at Marshfield Medical Center Weston Hospital. CPT 99284.
What Marshfield Medical Center Weston Hospital publishes for this service, straight from its standard-charges file, last updated February 20, 2026.
Outpatient / ER
$1,373cash price (self-pay)
$1,445list price
$404–$3,515range 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 | $723 |
| Amish/Mennonite | Amish Mennonite | $795 |
| Sanford Health Plan | Commercial | $795 |
| The Alliance | Exception Members | $1,113 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $1,185 |
| The Alliance | PPO Network | $1,207 |
| Besse Forest Products | Direct Employer | $1,228 |
| Molina Healthcare of WI | HMO | $1,228 |
| Rice Lake School District | Direct Employer | $1,228 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $1,301 |
| Medica of WI | PPO | $1,347 |
| Cigna | PPO | $1,358 |
| HealthEOS by MultiPlan Inc. | PPO Network | $1,358 |
| CORVEL | Third Party | $1,373 |
| First Health | PPO Network | $1,373 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $1,373 |
| Health Partners | PPO | $1,373 |
| Three Rivers Provider Network (TRPN) | Commercial | $1,373 |
| Three Rivers Provider Network (TRPN) | Third Party | $1,373 |
| Medica of WI | Medica Care System | $1,376 |
| Trilogy | Commercial | $1,380 |
| Coventry | Workers Comp | $1,387 |
| Health Smart | PPO Network | $1,387 |
| Trilogy | Third Party | $1,387 |
| Rising Medical Work Comp | Workers Comp | $1,402 |
| Security Health Plan (SHP) | SimplyOne Region 3 | $2,111 |
| Security Health Plan (SHP) | SimplyOne Region 2 | $2,321 |
Inpatient
$1,373cash price (self-pay)
$1,445list price
$795–$1,402range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amish/Mennonite | Amish Mennonite | $795 |
| Sanford Health Plan | Commercial | $795 |
| The Alliance | Exception Members | $1,113 |
| Group Health Cooperative of Eau Claire | ETF - River Region | $1,185 |
| The Alliance | PPO Network | $1,194 |
| UnitedHealth Group of WI | PPO | $1,194 |
| Besse Forest Products | Direct Employer | $1,228 |
| Molina Healthcare of WI | HMO | $1,228 |
| Rice Lake School District | Direct Employer | $1,228 |
| Group Health Cooperative of Eau Claire | ETF - Greater WI/HMO | $1,301 |
| Cigna | PPO | $1,358 |
| HealthEOS by MultiPlan Inc. | PPO Network | $1,358 |
| CORVEL | Third Party | $1,373 |
| First Health | PPO Network | $1,373 |
| HealthEOS by MultiPlan Inc. | Workers Comp | $1,373 |
| Health Partners | PPO | $1,373 |
| Three Rivers Provider Network (TRPN) | Commercial | $1,373 |
| Three Rivers Provider Network (TRPN) | Third Party | $1,373 |
| Medica of WI | Medica Care System | $1,376 |
| Trilogy | Commercial | $1,380 |
| Coventry | Workers Comp | $1,387 |
| Health Smart | PPO Network | $1,387 |
| Trilogy | Third Party | $1,387 |
| WPS Health Insurance | Indemnity | $1,394 |
| Rising Medical Work Comp | Workers Comp | $1,402 |
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All common services at Marshfield Medical Center Weston Hospital