Emergency visit, highest (level 5) at Medicine Lodge Memorial Hospital. CPT 99285.
What Medicine Lodge Memorial Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$250cash price (self-pay)
$1,390list price
$98.48–$1,390range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare West-All Plans | Tricare West-All Plans | $572 |
| Humana Mcr Adv-All Plans | Humana Mcr Adv-All Plans | $647 |
| Aetna Mcr Adv | Aetna Mcr Adv | $663 |
| Aetna Better Health Mcaid Chip | Aetna Better Health Mcaid Chip | $744 |
| Sunflower Mcaid-All Plans | Sunflower Mcaid-All Plans | $744 |
| Hpk-All Plans | Hpk-All Plans | $779 |
| BCBS Blue Choice | BCBS Blue Choice | $1,027 |
| BCBS Cap - All Other Plans | BCBS Cap - All Other Plans | $1,081 |
| Aetna Comm-All Other Plans | Aetna Comm-All Other Plans | $1,286 |
| Aetna/First Health Network | Aetna/First Health Network | $1,321 |
| UHC-All Plans | UHC-All Plans | $1,321 |
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