Emergency visit, highest (level 5) at IU Health Jay Hospital. CPT 99285.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$1,259cash price (self-pay)
$21,544list price
$296–$39,470range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | All Managed Medicaid | $296 |
| United Healthcare | All Managed Medicaid | $296 |
| Elevance Health | All Managed Medicaid | $296 |
| Managed Health Services | All Government Medicaid | $296 |
| Elevance Health | All Government Medicaid HIP | $296 |
| Managed Health Services | All Government Medicaid HIP | $296 |
| Caresource | All Government Medicaid HIP | $296 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $1,303 |
| Elevance Health | All HMO/POS | $8,648 |
| Elevance Health | All PPO | $8,648 |
| Elevance Health | All Traditional Plans | $9,158 |
| Self-Pay | Other - Self-Pay | $9,639 |
| Suburban Health Organization | PPO - Direct | $11,311 |
| Aetna | POS - Cox Medical Plans | $12,474 |
| Aetna | PPO - IN Preferred | $12,474 |
| Deaconess Health System | All Managed Care | $12,496 |
| Cigna | PPO - New Business | $12,496 |
| Community Health Direct | HMO - LaPorte Regional Plans | $12,711 |
| Parkview Health | HMO - Employee Plans | $13,314 |
| Unified Group Services | HMO | $13,357 |
| Lutheran Health Network | All Managed Care | $15,081 |
| United Healthcare | All Managed Care | $15,288 |
| Parkview Health | EPO | $15,533 |
| Aetna | PPO - First Health | $15,727 |
| Aetna | PPO - NAP | $15,727 |
| Aetna | HMO - Coventry Plans | $16,330 |
| Aetna | PPO/POS | $16,330 |
| Lutheran Preferred | All PPO Plans | $17,235 |
| Encore Health Network | PPO | $18,765 |
| Indiana Health Network (IHN) | All Managed Care | $19,026 |
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