Emergency visit, highest (level 5) at Saint Marys Hospital. CPT 99285.
What Saint Marys Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$367cash price (self-pay)
$2,255list price
$99.99–$4,226range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Evernorth | $440 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $700 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $700 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $707 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $714 |
| Commonwealth Care Alliance Medicare | Commonwealth Care Alliance Medic | $714 |
| Wellcare Medicare | Wellcare Medicare Advantage | $714 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $721 |
| Centivo | Centivo | $1,428 |
| Claimdoc | Claimdoc | $1,499 |
| Innovative Health Plan II | Innovative Health Plan | $1,499 |
| Connecticare | Connecticare Cbi | $1,783 |
| Blue Shield - Wa (Regence) | Anthem | $2,118 |
| Blue Cross - Wv (Highmark) | Anthem | $2,118 |
| Blue Cross - Va (Carefirst) | Anthem | $2,118 |
| Blue Cross - Id | Anthem | $2,118 |
| Blue Cross - FL | Anthem | $2,118 |
| Blue Cross - Ga (Anthem) | Anthem | $2,118 |
| Blue Cross - De (Highmark) | Anthem | $2,118 |
| Blue Cross - Md (Carefirst) | Anthem | $2,118 |
| Blue Cross - Al | Anthem | $2,118 |
| Blue Cross - Wa (Premera) | Anthem | $2,118 |
| Blue Cross - Vt | Anthem | $2,118 |
| BCBS Generic | Anthem | $2,118 |
| Unicare | Unicare | $2,118 |
| Wellpoint | Wellpoint | $2,118 |
| Kaiser Domestic | Anthem | $2,118 |
| Blue Cross - Ky (Anthem) | Anthem | $2,118 |
| Blue Cross - La | Anthem | $2,118 |
| Blue Shield - Id (Regence) | Anthem | $2,118 |
Inpatient
$552cash price (self-pay)
$552list price
$99.99–$552range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Robert F Sing Program | Medicaid | $99.99 |
| Connections Csp | Medicaid | $99.99 |
| Community Care Partners | Medicaid | $99.99 |
| Cmh Kalamazoo | Medicaid | $99.99 |
| Cmh Clinton-Eaton-Ingham County | Medicaid | $99.99 |
| Bmc Healthnet | Medicaid | $99.99 |
| Amerigroup Medicaid | Medicaid | $99.99 |
| Tenncare | Medicaid | $99.99 |
| Medstar Dc Healthy Family | Medicaid | $99.99 |
| Geisinger Medicaid Advantage | Medicaid | $99.99 |
| Rx Allwin | Medicare | $175 |
| Molina Medicare Advantage | Medicare | $175 |
| Union Health Service | Medicare | $175 |
| South Country Health Alliance Medicare | Medicare | $175 |
| Humana Central Valley Medpro | Medicare | $175 |
| Gateway Health Plan | Medicare | $175 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $175 |
| Blue Cross - Ga (Anthem) Medicare Advantage | Medicare | $175 |
| Blue Cross - Ky (Anthem) Medicare Advantage | Medicare | $175 |
| Univera Healthcare Medicare Advantage | Medicare | $175 |
| Cca - Zing Health | Medicare | $175 |
| BCBS Medicare Advantage Generic | Medicare | $175 |
| Medicare Puerto Rico | Medicare | $175 |
| Care Dimensions | Medicare | $175 |
| Blue Cross - MA Medicare Advantage | Medicare | $175 |
| Champion Health Plan Mcr Advantage | Medicare | $175 |
| Phoenix Medicare Advantage | Medicare | $175 |
| Medicare | Medicare | $175 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $175 |
| Blue Cross - Mn Medicare Advantage | Medicare | $175 |
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