Emergency visit, highest (level 5) at Fairview Hospital. CPT 99285.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$860cash price (self-pay)
$2,687list price
$116–$2,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | MCR Traditional Medicare | $179 |
| Medicare | MCRManaged Medicare HMO | $179 |
| Hospice | Comm Hospice | $182 |
| Other Government | MCR Miscellaneous | $182 |
| Other Government | MCRManaged USA Family | $182 |
| Other Government | MCRManaged VA | $182 |
| Health New England | MCRManaged HNE Medicare Advantage | $184 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $194 |
| Fallon | MCRManaged Fallon Medicare Advantage | $194 |
| CommCare Alliance | MCRManaged CCA One Care | $202 |
| Fallon | MCRManaged Fallon Medicare SCO | $211 |
| Other Government | Tri Tricare | $255 |
| Point32Health | Comm Tufts QHPSUB (Network) | $326 |
| Point32Health | MCDManaged Tufts (Network) | $326 |
| Workers Comp | WC Workers Comp | $373 |
| Comm Fallon QHP | Comm Fallon QHP | $406 |
| Aetna | Comm Aetna | $424 |
| Unicare | Comm Wellpoint (Unicare) | $465 |
| Comm HNE HMO | Comm HNE HMO | $472 |
| Health New England | Comm HNE | $500 |
| Comm HNE PPO | Comm HNE PPO | $501 |
| Fallon | MCDManaged Fallon Medicaid ACO | $723 |
| Allways NHP | Comm NHP | $1,162 |
| United Healthcare | Comm United BH | $1,168 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $1,185 |
| Blue Cross | Comm Blue Cross VT PPO | $1,352 |
| Point32Health | Comm Tufts | $1,423 |
| United Healthcare | Comm UnitedHealthcare | $1,545 |
| Capital District Physicians' Health Plan | Comm CDPHP | $1,617 |
| Cigna | Comm Cigna Carelink | $1,617 |
Inpatient
$860cash price (self-pay)
$1,796list price
$512–$2,553range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $1,015 |
| Point32Health | MCDManaged Tufts (Network) | $1,015 |
| Workers Comp | WC Workers Comp | $1,145 |
| Allways NHP | Comm NHP | $1,162 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $1,164 |
| United Healthcare | Comm United BH | $1,168 |
| Blue Cross | Comm Blue Cross VT PPO | $1,293 |
| Aetna | Comm Aetna | $1,356 |
| Point32Health | Comm Tufts | $1,423 |
| United Healthcare | Comm UnitedHealthcare | $1,545 |
| Capital District Physicians' Health Plan | Comm CDPHP | $1,617 |
| MVP | Comm MVP | $1,617 |
| Oxford | Comm Oxford | $1,617 |
| Connecticare | Comm Connecticare | $1,706 |
| Consolidated Health Plans | Comm Consolidated Health | $1,706 |
| First Health | Comm First Health | $1,706 |
| Point32Health | Comm Harvard | $1,706 |
| Other Commercial | Comm Other | $1,706 |
| PHCS | Comm PHCS | $1,706 |
| Self Pay | Comm Self Pay | $1,706 |
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