Emergency visit, highest (level 5) at Sullivan County Community Hospital. CPT 99285.
What Sullivan County Community Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$1,405cash price (self-pay)
$1,873list price
$75.80–$1,873range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mhs Mcaid - All Other Plans | Mhs Mcaid - All Other Plans | $75.80 |
| BCBS Mcr Adv | BCBS Mcr Adv | $562 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $562 |
| Ambetter Comm-Exch - All Plans | Ambetter Comm-Exch - All Plans | $562 |
| BCBS Essential | BCBS Essential | $562 |
| Va Ccn - All Plans | Va Ccn - All Plans | $562 |
| Humana Mcr Adv | Humana Mcr Adv | $568 |
| Mhs Hlthy In Mcaid | Mhs Hlthy In Mcaid | $608 |
| BCBS Healthsync | BCBS Healthsync | $668 |
| BCBS Pathway X | BCBS Pathway X | $668 |
| BCBS HMO | BCBS HMO | $824 |
| BCBS PPO | BCBS PPO | $834 |
| BCBS Pathway | BCBS Pathway | $834 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $988 |
| Siho - All Plans | Siho - All Plans | $1,405 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $1,592 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $1,592 |
| Humana Mcaid | Humana Mcaid | $1,873 |
| Mdwise Mcaid - All Other Plans | Mdwise Mcaid - All Other Plans | $1,873 |
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