Emergency visit, highest (level 5) at Springfield Memorial Hospital. CPT 99285.
What Springfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$2,463cash price (self-pay)
$2,463list price
$88.00–$4,986range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan | Magellan PPO | $88.00 |
| BCBS Medicare Advantage | BCBS Medicare Advantage | $402 |
| Blue Cross Community MMAI/Dual Eligible | Blue Cross Community MMAI/Du | $584 |
| Aetna | Aetna Medicare Advantage | $628 |
| Health Alliance | Health Alliance ACA | $788 |
| Current Health Network PPO | Current Health Network PPO | $1,108 |
| Aetna | Aetna PPO | $1,128 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $1,133 |
| Commercial Workers Compensation | Commercial Workers Compensation | $1,245 |
| Health Alliance | Health Alliance Coordinated Care Plan (CCP) | $1,281 |
| Cigna | Cigna PPO | $1,293 |
| Illinois Workers Compensation | Illinois Workers Compensation | $1,310 |
| PHCS/MultiPlan | PHCS Savility PPO | $1,330 |
| HealthLink | HealthLink HMO | $1,404 |
| Health Alliance | Health Alliance Self Funded | $1,426 |
| 6 Degrees Health | 6 Degrees Health | $1,478 |
| Hst | Hst | $1,478 |
| HopeTrust | HopeTrust | $1,478 |
| Humana | Humana PPO | $1,478 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $1,478 |
| HealthLink | HealthLink PPO | $1,552 |
| Consociate | Consociate PPO | $1,601 |
| Health Alliance | Health Alliance Gated PPO | $1,601 |
| HFN | HFN Platinum PPO | $1,601 |
| Hfn | Hfn PPO | $1,601 |
| Preferred Plan | Preferred Plan PPO | $1,847 |
| SOI McFarland | SOI McFarland PPO | $1,847 |
| SOI Rushville | SOI Rushville PPO | $1,847 |
| Coventry/Aetna | Coventry/Aetna First Health PPO | $1,872 |
| CorVel | CorVel/Core Care PPO | $1,970 |
Inpatient
$2,463cash price (self-pay)
$2,463list price
$985–$2,463range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance ACA | $985 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $1,133 |
| PHCS/MultiPlan | PHCS Savility PPO | $1,330 |
| Health Alliance | Health Alliance Gated PPO | $1,355 |
| Health Alliance | Health Alliance Self Funded | $1,426 |
| 6 Degrees Health | 6 Degrees Health | $1,478 |
| HopeTrust | HopeTrust | $1,478 |
| Hst | Hst | $1,478 |
| Humana | Humana PPO | $1,478 |
| Magellan | Magellan PPO | $1,478 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $1,478 |
| HFN | HFN Platinum PPO | $1,601 |
| Hfn | Hfn PPO | $1,601 |
| Preferred Plan | Preferred Plan PPO | $1,847 |
| SOI McFarland | SOI McFarland PPO | $1,847 |
| SOI Rushville | SOI Rushville PPO | $1,847 |
| Methodist First Choice | Methodist First Choice PPO | $1,970 |
| Mutual Medical Plans | Mutual Medical Plans PPO | $2,094 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $2,463 |
| Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA | $2,463 |
| BCBS | Blue Cross Memorial Health System | $2,463 |
| Liability | Liability | $2,463 |
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