Emergency visit, highest (level 5) at Saint Alphonsus Regional Medical Center. CPT 99285.
What Saint Alphonsus Regional Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$367cash price (self-pay)
$2,819list price
$109–$25,011range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Im Plus Medicaid | $142 |
| Medigold Medicare Advantage | Medigold Medicare Advantage | $630 |
| Blue Cross - Id Medicare Advantage | Bc Id Medicare Advantage | $630 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $649 |
| Molina Medicare Advantage | Molina Medicare Advantage | $649 |
| American Health Advantage Of Idaho | American Health Medicare Advantag | $655 |
| Pacificsource Health Plans Medicare Advantage | Pacificsource Medicare | $662 |
| Selecthealth | Selecthealth Saha Network Indivudial | $1,159 |
| Moda Health | Moda Health Select | $1,249 |
| Selecthealth | Selecthealth Saha Network Small Grp | $1,382 |
| Molina Marketplace | Molina Marketplace | $1,518 |
| Webtpa | Pacific Steel | $1,698 |
| Blue Benefit Administrators Of Massachusetts | Bci HMO | $2,120 |
| Blue Distinction Transplant | Bci HMO | $2,120 |
| Bcn Domestic | Bci HMO | $2,120 |
| Blue Cross Domestic | Bci HMO | $2,120 |
| Blue Care Network | Bci HMO | $2,120 |
| Wc Domestic | Bci HMO | $2,120 |
| Pre-Employment | Bci HMO | $2,120 |
| Blue Cross - TX | Bci HMO | $2,120 |
| Blue Cross - Tn | Bci HMO | $2,120 |
| BCBS Generic | Bci HMO | $2,120 |
| Blue Cross - Federal | Bci HMO | $2,120 |
| Blue Cross - Al | Bci HMO | $2,120 |
| Blue Cross - Oh (Anthem) | Bci HMO | $2,120 |
| Blue Cross - Sd (Wellmark) | Bci HMO | $2,120 |
| Blue Cross - Ne | Bci HMO | $2,120 |
| Health Choices | Bci HMO | $2,120 |
| Pacificsource Health Plans | Pacificsource Smart Alliance | $7,194 |
| Pacificsource Health Plans | Pacificsource | $8,753 |
Inpatient
$393cash price (self-pay)
$393list price
$109–$393range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cardinal Innovations Lme | Medicaid | $137 |
| Eastpointe Lme | Medicaid | $137 |
| Blue Cross - Sc Medicaid Advantage | Medicaid | $137 |
| Firstcare Medicaid | Medicaid | $137 |
| Texas Children'S Health Plan | Medicaid | $137 |
| Tufts Health Public Plans | Medicaid | $137 |
| Sandhills Center Lme | Medicaid | $137 |
| Community Health Choice | Medicaid | $137 |
| Medicaid - Ut | Medicaid | $137 |
| Medicaid - TX | Medicaid | $137 |
| Medicaid - Tn | Medicaid | $137 |
| Medicaid - Wv | Medicaid | $137 |
| Rx Allwin | Medicare | $158 |
| Pace-Trinity Health | Medicare | $158 |
| Pace Cny | Medicare | $158 |
| Innovative Integrated Health Community Plans | Medicare | $158 |
| Solis Health Plans | Medicare | $158 |
| Pace Of Southwest Michigan | Medicare | $158 |
| Php Medicare | Medicare | $158 |
| Mercy Life | Medicare | $158 |
| Scan Health Plan Medicare Advantage | Medicare | $158 |
| Jefferson Health Plans Medicare | Medicare | $158 |
| Alignment Health Plan Medicare Advantage | Medicare | $158 |
| Gold Advantage | Medicare | $158 |
| Healthfirst Medicare Advantage | Medicare | $158 |
| Health Partners Medicare Advantage | Medicare | $158 |
| Global Medicare Advantage | Medicare | $158 |
| Welbe Health | Medicare | $158 |
| Humana Central Valley Medpro | Medicare | $158 |
| Ally Align Care Adv | Medicare | $158 |
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All common services at Saint Alphonsus Regional Medical Center