Emergency visit, highest (level 5) at Advocate Good Samaritan Hospital. CPT 99285.
What Advocate Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated November 4, 2025.
Outpatient / ER
$2,040cash price (self-pay)
$4,080list price
$927–$4,020range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Ambetter | Medicare Advantage | $927 |
| Molina | Medicare Advantage | $927 |
| Oscar Health HMO | Medicare Advantage | $959 |
| HSTechnology | Medicare Advantage | $1,227 |
| Advocate Employee | Commercial | $1,608 |
| United Healthcare Charter | Commercial | $2,033 |
| Cigna | Commercial | $2,040 |
| Cigna One Health | Commercial | $2,122 |
| Blue Cross Blue Shield City of Chicago | Commercial | $2,132 |
| Aetna | Commercial | $2,201 |
| Blue Cross Blue Shield Choice | Commercial | $2,305 |
| United Healthcare Nexus | Commercial | $2,355 |
| Blue Cross Blue Shield | PPO | $2,426 |
| Blue Cross Blue Shield Blue Precision | Managed Care | $3,154 |
| Blue Cross Blue Shield | HMO | $3,215 |
| Multiplan | Commercial | $3,264 |
| Private Healthcare Systems | Commercial | $3,264 |
| United Healthcare Core Navigate | Commercial | $3,473 |
| United Healthcare | HMO | $4,020 |
Inpatient
$2,040cash price (self-pay)
$4,080list price
$1,783–$3,264range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Advocate Employee | Commercial | $1,783 |
| Private Healthcare Systems | Commercial | $2,530 |
| Multiplan | Commercial | $3,264 |
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