Emergency visit, highest (level 5) at Mercy Hospital. CPT 99285.
What Mercy Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$367cash price (self-pay)
$1,386list price
$84.20–$2,581range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $699 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $699 |
| BCBS Medicare Advantage Generic | BCBS Medicare Advantage | $699 |
| Medigold Medicare Advantage | Mount Carmel Health Plan | $699 |
| Tufts Medicare Advantage | Tufts Medicare Advantage | $699 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $706 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $713 |
| Mass General Brigham Mcr Adv | Mass General Brigham Health Medicare Ad | $713 |
| Prime Health Services Medicare Advantage | Prime Health Medicare Advan | $728 |
| Molina Medicare Advantage | Senior Whole Health | $734 |
| Wellcare Medicare | Wellcare Medicare Advantage | $734 |
| Fallon Health Medicare Advantage | Fallon Navicare Medicare Advantage | $735 |
| Blue Shield - Wa (Regence) | BCBS PPO | $916 |
| Blue Cross - Wv (Highmark) | BCBS PPO | $916 |
| Blue Cross - TX | BCBS PPO | $916 |
| Blue Cross - Ut (Regence) | BCBS PPO | $916 |
| Blue Cross - Vt | BCBS PPO | $916 |
| Blue Cross - Va (Anthem) | BCBS PPO | $916 |
| Blue Cross - Pa (Independence) | BCBS PPO | $916 |
| Blue Cross - Nm | BCBS PPO | $916 |
| Blue Cross - NY (Excellus) | BCBS PPO | $916 |
| Blue Cross - NY (Anthem) | BCBS PPO | $916 |
| Blue Cross - Pa (Capital) | BCBS PPO | $916 |
| Blue Shield - Pa (Highmark) | BCBS PPO | $916 |
| Blue Cross - Sc | BCBS PPO | $916 |
| Blue Cross - Ri | BCBS PPO | $916 |
| Blue Cross - Tn | BCBS PPO | $916 |
| Blue Shield - NY Highmark Western | BCBS PPO | $916 |
| Blue Cross - Nc | BCBS PPO | $916 |
| Blue Shield - NY Highmark Northeastern | BCBS PPO | $916 |
Inpatient
$428cash price (self-pay)
$428list price
$84.20–$428range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wc Hartford | Workers Comp | $84.20 |
| Blue Cross - Tn Medicaid Advantage | Medicaid | $108 |
| Unity Medicaid | Medicaid | $108 |
| Amerihealth Caritas Medicaid | Medicaid | $108 |
| Security Health Medicaid | Medicaid | $108 |
| Mercycare Medicaid | Medicaid | $108 |
| Managed Health Services - Indiana | Medicaid | $108 |
| Total Health Care Medicaid | Medicaid | $108 |
| Nebraska Total Care | Medicaid | $108 |
| Medicaid - Mo | Medicaid | $108 |
| Medicaid - Mt | Medicaid | $108 |
| Medicaid - MA | Medicaid | $108 |
| Medicaid - Mn | Medicaid | $108 |
| Medicaid - Ms | Medicaid | $108 |
| Medicaid - La | Medicaid | $108 |
| Medicaid - Me | Medicaid | $108 |
| Medicaid - Md | Medicaid | $108 |
| Medicaid - Mi | Medicaid | $111 |
| Molina Medicare Advantage | Medicare | $143 |
| Rx Allwin | Medicare | $143 |
| Highmark Wholecare Medicare Advantage | Medicare | $143 |
| Health America Advantra | Medicare | $143 |
| Blue Cross - Pa (Independence) Medicare Advantage | Medicare | $143 |
| Osu Prime Care Advantage | Medicare | $143 |
| Pace Cny | Medicare | $143 |
| Pace-Trinity Health | Medicare | $143 |
| Serenity Pace | Serenity Care Pace Medicare Advantage | $143 |
| Buckeye Health Plan Medicare Advantage | Medicare | $143 |
| Keystone First Chc Medicare Advantage | Medicare | $143 |
| Scan Health Plan Medicare Advantage | Medicare | $143 |
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