Emergency visit, highest (level 5) at Jackson South Medical Center. CPT 99285.
What Jackson South Medical Center publishes for this service, straight from its standard-charges file, last updated September 23, 2026.
Outpatient / ER
$555cash price (self-pay)
$2,982list price
$498–$4,682range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare - All Plans | Tricare - All Plans | $498 |
| Simply Hlth Mcr | Simply Hlth Mcr | $541 |
| Healthsun Mcr Adv - All Plans | Healthsun Mcr Adv - All Plans | $541 |
| Carelon Bh Mcaid | Carelon Bh Mcaid | $546 |
| Leon Hlth Mcr - All Plans | Leon Hlth Mcr - All Plans | $560 |
| Pace Mcr Adv | Pace Mcr Adv | $560 |
| Avmed Mcr Adv | Avmed Mcr Adv | $591 |
| Humana Mcr Adv | Humana Mcr Adv | $603 |
| Doctors Hlthcare Mcr Adv - All Plans | Doctors Hlthcare Mcr Adv - All | $622 |
| Preferred Care - All Plans | Preferred Care - All Plans | $622 |
| Sunshine Mcr Adv | Sunshine Mcr Adv | $622 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $641 |
| Humana Behav Hlth | Humana Behav Hlth | $650 |
| Lifesynch Mcr Adv | Lifesynch Mcr Adv | $650 |
| Lifesynch Comm - All Other Plans | Lifesynch Comm - All Other Plans | $650 |
| Ambetter Exch - All Plans | Ambetter Exch - All Plans | $684 |
| Molina Mcare | Molina Mcare | $684 |
| Align Mcr Adv - All Plans | Align Mcr Adv - All Plans | $697 |
| Longevity Hp - All Plans | Longevity Hp - All Plans | $697 |
| Aetna Exchange | Aetna Exchange | $840 |
| Avmed Exch | Avmed Exch | $864 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $871 |
| Aetna International | Aetna International | $1,072 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $1,125 |
| Claimdoc - All Plans | Claimdoc - All Plans | $1,213 |
| Molina Exch - All Other Plans | Molina Exch - All Other Plans | $1,240 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $1,241 |
| UHC Options PPO | UHC Options PPO | $1,300 |
| Aetna First Hlth | Aetna First Hlth | $1,798 |
| Multiplan - All Plans | Multiplan - All Plans | $1,819 |
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