Emergency visit, highest (level 5) at Jacksonville Memorial Hospital. CPT 99285.
What Jacksonville Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$2,463cash price (self-pay)
$3,092list price
$4.15–$7,002range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $263 |
| Coventry | Coventry Advantra Medicare Advantage HMO | $282 |
| Health Alliance | Health Alliance Medicare Advantage | $282 |
| Humana | Humana/ChoiceCare Medicare Advantage PPO/HMO | $282 |
| Medicare | Medicare | $282 |
| United HealthCare | United HealthCare Medicare Advantage | $296 |
| Tricare | Tricare | $310 |
| Medicaid | Illinois Medicaid | $343 |
| Molina HealthCare | Molina Medicaid | $343 |
| WellCare Medicare Advantage PPO | WellCare Medicare Advantage PPO | $487 |
| UHC Va Ccn | UHC Va Ccn | $495 |
| Commercial Workers Compensation | Commercial Workers Compensation | $624 |
| Illinois Workers Compensation | Illinois Workers Compensation | $863 |
| Corvel/CorCare | Corvel/CorCare | $1,400 |
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $1,422 |
| 6 Degrees Health | 6 Degrees Health | $1,855 |
| Hope Trust | Hope Trust | $1,855 |
| Hst | Hst | $1,855 |
| Health Alliance | Health Alliance Fully Insured/Self Funded/ACA | $1,962 |
| Healthlink | Healthlink HMO | $2,044 |
| Cigna | Cigna | $2,143 |
| Aetna | Aetna PPO | $2,286 |
| Current Health Network | Current Health Network | $2,319 |
| Humana/ChoiceCare | Humana/ChoiceCare | $2,637 |
| PHCS/Multiplan | PHCS/Multiplan PPO | $2,783 |
| Hfn | Hfn PPO | $2,937 |
| HFN | HFN Workers Compensation | $2,937 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $3,092 |
| Liability | Liability | $3,092 |
| United Healthcare | United Healthcare PPO | $4,841 |
Inpatient
$2,463cash price (self-pay)
$3,092list price
$1,133–$3,721range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee plan | Health Alliance MH Employee plan | $1,422 |
| Current Health Network | Current Health Network | $1,701 |
| 6 Degrees Health | 6 Degrees Health | $1,855 |
| Hope Trust | Hope Trust | $1,855 |
| Hst | Hst | $1,855 |
| Cigna | Cigna | $2,143 |
| Aetna | Aetna PPO | $2,161 |
| Humana/ChoiceCare | Humana/ChoiceCare | $2,637 |
| Hfn | Hfn PPO | $2,937 |
| HFN | HFN Workers Compensation | $2,937 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $3,092 |
| Liability | Liability | $3,092 |
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