Emergency visit, highest (level 5) at Gundersen Palmer Lutheran Hospital and Clinic. CPT 99285.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$902cash price (self-pay)
$1,518list price
$642–$1,518range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Products | $642 |
| Quartz | All Other Self Funded | $668 |
| Quartz | Self Funded | $713 |
| Quartz | Level Funded | $736 |
| UHC | All Payer Appendix | $753 |
| Health Partners | Medicaid HMO | $759 |
| Wellmark | All Products | $774 |
| Aetna | Medicare Advantage | $789 |
| Amerigroup | Medicare Advantage | $789 |
| Health Partners | Medicare Advantage | $789 |
| Humana | Medicare Advantage | $789 |
| Iowa Total Care | Medicaid | $789 |
| Managed Health Service | Managed Medicaid | $789 |
| Quartz | Medicaid_Badgercare | $789 |
| Quartz | Medicare Advantage | $789 |
| UHC | Medicare Advantage | $789 |
| Wellmark | Medicare Advantage | $789 |
| Quartz | Fully Insured | $827 |
| UCARE | Non-Dually Eligible | $835 |
| UCARE | Dually Eligible | $835 |
| UCARE | MSHO/Minnesota Special Needs | $835 |
| Health Partners | Medicare Cost | $911 |
| Alliance | Premier/All Products | $1,202 |
| Alliance | Comprehensive/All Products | $1,202 |
| Medical Associates | CAH Specific | $1,214 |
| Trilogy | All Products | $1,214 |
| UCARE | Qualified Health Plan | $1,214 |
| Aetna | All Products | $1,245 |
| Aspirus Arise Health | All Products | $1,260 |
| Allied National | Core Value Programs | $1,290 |
Inpatient
$902cash price (self-pay)
$1,518list price
$642–$1,472range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $894 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic