Emergency visit, highest (level 5) at Providence Medical Center. CPT 99285.
What Providence Medical Center publishes for this service, straight from its standard-charges file, last updated March 17, 2026.
Outpatient / ER
$561cash price (self-pay)
$3,419list price
$58.32–$3,419range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicaid Adjusted Rate | $58.32 |
| Traditional Medicaid | Traditional Medicaid | $105 |
| UHC | UHC Medicaid | $105 |
| Celtic | Celtic Medicaid | $107 |
| Healthy Blue | Healthy Blue Medicaid (01/01/2025 to 12/31/2026) | $107 |
| Aetna | Aetna Medicare | $561 |
| Cigna | Cigna Healthspring | $561 |
| Health Net Federal Services - Tricare | Health Net Federal Services - | $561 |
| Midland Care Connection | Midland Care Connection | $561 |
| Traditional Medicare | Traditional Medicare | $561 |
| Tricare | Tricare | $561 |
| UHC | UHC Medicare | $561 |
| UHC | UHC Va Ccn | $561 |
| Celtic | Celtic Medicare | $589 |
| Healthy Blue | Healthy Blue Medicare | $589 |
| Kansas Superior Select | Kansas Superior Select | $589 |
| Corizon | Corizon | $729 |
| Celtic | Home State Health Plan Ins Exchange | $757 |
| Employer Direct Healthcare | Employer Direct Healthcare Commercial | $785 |
| UHC | UHC Commercial Exchange | $785 |
| Well Path Prison | Well Path Prison | $785 |
| Centurion | Centurion | $842 |
| Naphcare | Naphcare | $870 |
| BCBS | BCBS Exchange | $898 |
| Celtic | Celtic Ins Exchange | $898 |
| BCBS | BCBS Select | $1,038 |
| UHC | UHC Commercial | $2,386 |
| UHC Ad-hoc | UHC Commercial | $2,438 |
| BCBS | BCBS HMO PPO | $3,419 |
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