Emergency visit, highest (level 5) at IU Health White Memorial Hospital. CPT 99285.
What IU Health White Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$878cash price (self-pay)
$21,544list price
$296–$38,458range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Health Services | All Government Medicaid | $296 |
| Caresource | All Managed Medicaid | $296 |
| United Healthcare | All Managed Medicaid | $296 |
| Elevance Health | All Managed Medicaid | $296 |
| Managed Health Services | All Government Medicaid HIP | $296 |
| Elevance Health | All Government Medicaid HIP | $296 |
| Caresource | All Government Medicaid HIP | $296 |
| Encore Health Network | PPO/HMO/EPO - Combined/Encircle | $1,303 |
| Encore Health Network | PPO | $7,971 |
| SIHO Insurance Services | PPO - Union Health | $8,833 |
| Elevance Health | All PPO | $10,940 |
| Indiana Health Network (IHN) | All Managed Care | $11,212 |
| Suburban Health Organization | PPO - Direct | $11,311 |
| Aetna | HMO - Coventry Plans | $11,526 |
| Aetna | PPO/POS | $11,526 |
| Aetna | POS - Cox Medical Plans | $11,591 |
| Aetna | PPO - IN Preferred | $11,591 |
| Aetna | PPO - First Health | $12,496 |
| Deaconess Health System | All Managed Care | $12,496 |
| Aetna | PPO - NAP | $12,496 |
| Community Health Direct | HMO - LaPorte Regional Plans | $12,711 |
| Parkview Health | HMO - Employee Plans | $13,314 |
| Unified Group Services | HMO | $13,357 |
| Cigna | HMO - Open Access | $13,573 |
| Cigna | HMO | $13,573 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $13,573 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $13,573 |
| Cigna | HMO/POS - Arnett Hospital Plans | $13,573 |
| Cigna | PPO | $13,573 |
| Elevance Health | All Traditional Plans | $14,846 |
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