Emergency visit, highest (level 5) at Saint Agnes Medical Center. CPT 99285.
What Saint Agnes Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$367cash price (self-pay)
$367list price
$36.90–$6,268range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $751 |
| Humana Medicare Advantage | Humana Ipa Meritage Medicare Advantage | $751 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $766 |
| Healthnet Medicare Advantage | Healthnet Medicare Advantage | $782 |
| Brand New Day Medicare Advantage | Brand New Day Medicare Advantage | $789 |
| Kaiser Permanente Medicare Advantage | Kaiser Medicare Advantage | $789 |
| Wellcare Medicare | Care1st Health Medicare Advantage | $789 |
| Blue Cross - In (Anthem) | Anthem Bc HMO | $1,588 |
| Blue Cross - IL | Anthem Bc HMO | $1,588 |
| Blue Cross - Tn | Anthem Bc HMO | $1,588 |
| Blue Cross - TX | Anthem Bc HMO | $1,588 |
| Blue Cross - Or (Regence) | Anthem Bc HMO | $1,588 |
| Blue Cross - Mo (Anthem) | Anthem Bc HMO | $1,588 |
| Blue Cross - Federal | Anthem Bc HMO | $1,588 |
| Blue Cross - Wi (Anthem) | Anthem Bc HMO | $1,588 |
| Blue Cross - Oh (Anthem) | Anthem Bc HMO | $1,588 |
| Blue Cross - Id | Anthem Bc HMO | $1,588 |
| Trustmark Small Business Benefits | Trustmark | $3,971 |
| Blue Cross - IL Alternate | Blue Shield Commercial | $3,979 |
| Blue Cross - Mi | Blue Shield Commercial | $3,979 |
| Blue Cross - Ia (Wellmark) | Blue Shield Commercial | $3,979 |
| Blue Shield - Pa (Highmark) | Blue Shield Commercial | $3,979 |
| Blue Cross - Ri | Blue Shield Commercial | $3,979 |
| Blue Cross - Pa (Capital) | Blue Shield Commercial | $3,979 |
| Blue Cross - Sd (Wellmark) | Blue Shield Commercial | $3,979 |
| Blue Cross - Pa (Independence) | Blue Shield Commercial | $3,979 |
| Blue Cross - Ks | Blue Shield Commercial | $3,979 |
| BCBS Generic | Blue Shield Commercial | $3,979 |
| Blue Cross - Nc | Blue Shield Commercial | $3,979 |
| Blue Cross - Wy | Blue Shield Commercial | $3,979 |
Inpatient
$438cash price (self-pay)
$438list price
$108–$394range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Dean Wi Badgercare | Medicaid | $108 |
| Upper Peninsula Health Plan (Uphp) Medicaid | Medicaid | $108 |
| Care Oregon Ohp | Medicaid | $108 |
| Wc Procura Management | Workers Comp | $108 |
| Broward County Dept Of Health | Medicaid | $108 |
| Medicaid Spenddown | Medicaid | $108 |
| Cmh North Country | Medicaid | $108 |
| Fresno County Ccs | Medicaid | $108 |
| County Funding Generic | Medicaid | $108 |
| City Of Philadelphia | Medicaid | $108 |
| Indiana Breast Cervical Cancer | Medicaid | $108 |
| Idaho Womens Health Check | Medicaid | $108 |
| Rx Allwin | Medicare | $165 |
| Molina Medicare Advantage | Medicare | $165 |
| Nascentia Health Plus | Medicare | $165 |
| American Health Plan | Medicare | $165 |
| Hudson Headwaters Pace | Medicare | $165 |
| Scan Health Plan Mcr Ipa Meritage Oon | Medicare | $165 |
| Prime Health Services Medicare Advantage | Medicare | $165 |
| Iowa Health Advantage | Medicare | $165 |
| Highmark Health Options Dual Plan | Medicare | $165 |
| Perennial Advantage | Medicare | $165 |
| Medicare Medical Associates Health Plans | Medicare | $165 |
| Aetna Medicare Assure Premier HMO D-Snp | Medicare | $165 |
| Champion Health Plan Mcr Advantage | Medicare | $165 |
| Prominence Medicare | Medicare | $165 |
| Hap Medicare Advantage | Medicare | $165 |
| Medigold Medicare Advantage | Medicare | $165 |
| Connecticare Vip Medicare | Medicare | $165 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $165 |
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