Emergency visit, highest (level 5) at Memorial Hospital of South Bend. CPT 99285.
What Memorial Hospital of South Bend publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$1,251cash price (self-pay)
$1,925list price
$344–$1,994range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| McLaren | MI Medicaid | $344 |
| UHC | MI Medicaid | $344 |
| Anthem | Commercial (Granger) | $488 |
| Devoted Healthcare | Medicare Advantage | $530 |
| Anthem | Exchange | $642 |
| Anthem | Medicare Advantage | $642 |
| Humana | Medicare Advantage | $642 |
| PACE | Medicare | $642 |
| UHC | Medicare Advantage | $642 |
| Aetna | Medicare Advantage | $754 |
| Caresource | Exchange | $1,028 |
| Anthem | HealthSync | $1,041 |
| CHA | Employer Group 4 | $1,155 |
| Immergrun | Commercial | $1,155 |
| Anthem | Commercial (excludes Granger) | $1,190 |
| MHS | Exchange | $1,204 |
| Anthem | Workers Compensation | $1,220 |
| Plain Church | Commercial | $1,252 |
| Cigna | OAP | $1,348 |
| UHC | Commercial | $1,390 |
| Aetna | Commercial | $1,417 |
| Multiplan | Commercial | $1,425 |
| CHA | Employer Group 5 | $1,444 |
| Humana | Commercial | $1,482 |
| CHA | Employer Group 6 | $1,540 |
| Cigna BH | Commercial | $1,540 |
| Cigna | PPO | $1,579 |
| Heartland | Hospice | $1,925 |
Inpatient
$1,251cash price (self-pay)
$1,925list price
$385–$1,579range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Devoted Healthcare | Medicare Advantage | $385 |
| Multiplan | Commercial | $1,251 |
| Cigna | OAP | $1,348 |
| UHC | Commercial | $1,390 |
| Humana | Commercial | $1,405 |
| Aetna | Commercial | $1,417 |
| CHA | Employer Group 5 | $1,444 |
| CHA | Employer Group 6 | $1,540 |
| Cigna BH | Commercial | $1,540 |
| Immergrun | Commercial | $1,540 |
| Plain Church | Commercial | $1,540 |
| Cigna | PPO | $1,579 |
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