Emergency visit, high (level 4) at SSM Health St. Mary's Hospital - Janesville. CPT 99284.
What SSM Health St. Mary's Hospital - Janesville publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,063cash price (self-pay)
$1,933list price
$315–$420range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Managed Care Plan | $315 |
| Dean Health Plan | Medicare Managed Care Plan | $420 |
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All common services at SSM Health St. Mary's Hospital - Janesville