Emergency visit, highest (level 5) at Dupont Hospital. CPT 99285.
What Dupont Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$99.63cash price (self-pay)
$369list price
$89.45–$4,746range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Physicians Health Plan | PHP Options | $89.45 |
| Amish Aid | Amish Aid | $99.63 |
| Self Pay | Self Pay | $99.63 |
| Lutheran Preferred | Lutheran Preferred CHS Employees | $110 |
| Physicians Health Plan | PHP Classic Network | $118 |
| Cigna | Cigna HMO | $119 |
| PHP Freedom Network | PHP Freedom Network | $122 |
| Cigna | Cigna PPO | $134 |
| Aetna | Aetna NBD | $137 |
| Aetna PSSD J and J | Aetna PSSD JJ | $137 |
| Physicians Health Plan | PHP Platinum Network | $143 |
| Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $148 |
| Veterans Eval Services | Veterans Eval Services | $160 |
| Aetna | Aetna | $165 |
| Lutheran Preferred | Lutheran Preferred Fixed | $166 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $166 |
| Lutheran Preferred | Lutheran Preferred Three Rivers | $166 |
| Encore PPO | Encore Combined PPO | $185 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $185 |
| Lutheran Network | Lutheran Preferred Exclusive Plus MRM | $185 |
| Medical Mutual of OH | Medical Mutual of Ohio | $196 |
| Sagamore | Sagamore Select Fully Insured | $199 |
| Lutheran Preferred | Lutheran Preferred Choice | $203 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $203 |
| Sagamore | Sagamore Plus | $206 |
| Sagamore | Sagamore Select Self Insured | $206 |
| Lutheran Preferred | Lutheran Preferred CCSI | $221 |
| Prime Health Services | Prime Health Services | $277 |
| Prime Health Services | Prime Health Services Auto | $277 |
| FrontPath | FrontPath Health Coalition | $295 |
Inpatient
$166cash price (self-pay)
$369list price
$110–$4,357range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | Lutheran Preferred CHS Employees | $110 |
| Cigna | Cigna HMO | $119 |
| Cigna | Cigna PPO | $134 |
| Aetna | Aetna NBD | $137 |
| Aetna PSSD J and J | Aetna PSSD JJ | $137 |
| Physicians Health Plan | PHP Platinum Network | $143 |
| Aetna | Aetna | $165 |
| Self Pay | Self Pay | $166 |
| Medical Mutual of OH | Medical Mutual of Ohio | $196 |
| Lutheran Preferred | Lutheran Preferred Choice | $203 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $203 |
| Lutheran Preferred | Lutheran Preferred CCSI | $221 |
| Prime Health Services | Prime Health Services | $277 |
| Prime Health Services | Prime Health Services Auto | $277 |
| FrontPath | FrontPath Health Coalition | $295 |
| Encore Health Network | Encore Fully Funded | $303 |
| Advantage Health Solutions | Advantage Health Solutions | $306 |
| Multiplan | Multiplan PPO Primary Network | $317 |
| Allied Benefit Systems | Allied Benefit Systems | $332 |
| Encore Health Network | Encore Self Funded | $332 |
| Multiplan | Multiplan PPO Complimentary Network | $332 |
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