Emergency visit, highest (level 5) at IU Health Ball Memorial Hospital. CPT 99285.
What IU Health Ball Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1,139cash price (self-pay)
$21,544list price
$247–$38,458range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All IUHP Employee Plans | $247 |
| Elevance Health | All Managed Medicaid | $296 |
| Managed Health Services | All Government Medicaid | $296 |
| United Healthcare | All Managed Medicaid | $296 |
| Caresource | All Managed Medicaid | $296 |
| Caresource | All Government Medicaid HIP | $296 |
| Elevance Health | All Government Medicaid HIP | $296 |
| Managed Health Services | All Government Medicaid HIP | $296 |
| Elevance Health | All Traditional Plans | $1,000 |
| Elevance Health | All PPO | $1,000 |
| Elevance Health | All HMO/POS | $1,000 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $1,442 |
| United Healthcare | All Managed Care | $3,892 |
| SIHO Insurance Services | PPO - Union Health | $8,833 |
| Aetna | PPO - IN Preferred | $10,944 |
| Aetna | POS - Cox Medical Plans | $10,944 |
| Cigna | PPO - New Business | $10,987 |
| Suburban Health Organization | PPO - Direct | $11,526 |
| Deaconess Health System | All Managed Care | $12,496 |
| Community Health Direct | HMO - LaPorte Regional Plans | $12,711 |
| Cigna | HMO - Open Access | $12,905 |
| Cigna | HMO/POS - Arnett Hospital Plans | $12,905 |
| Cigna | PPO | $12,905 |
| Cigna | HMO | $12,905 |
| Parkview Health | HMO - Employee Plans | $13,314 |
| Unified Group Services | HMO | $13,357 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $13,422 |
| Aetna | PPO/POS | $13,443 |
| Aetna | HMO - Coventry Plans | $13,443 |
| Lutheran Health Network | All Managed Care | $15,081 |
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