Emergency visit, highest (level 5) at Franklin Memorial Hospital. CPT 99285.
What Franklin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$670cash price (self-pay)
$906list price
$172–$2,662range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $172 |
| Aetna | Medicare Advantage | $257 |
| Anthem | Medicare Advantage | $270 |
| United Healthcare | Medicare Advantage | $270 |
| Wellcare | Medicare Advantage | $276 |
| Aetna | MHACO Commercial | $341 |
| Aetna | HMO/PPO | $541 |
| Harvard Pilgrim Healthcare | Maine's Choice | $600 |
| Cigna | Commercial | $645 |
| Harvard Pilgrim Healthcare | Commercial | $648 |
| Community Health Options | Commercial | $675 |
| United Healthcare | Commercial | $675 |
| Multiplan | Commercial | $694 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $1,482 |
Inpatient
$1,142cash price (self-pay)
$1,142list price
$865–$1,073range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $865 |
| Aetna | HMO/PPO | $871 |
| Cigna | Commercial | $956 |
| Harvard Pilgrim Healthcare | Commercial | $961 |
| Community Health Options | Commercial | $995 |
| United Healthcare | Commercial | $1,018 |
| Multiplan | Commercial | $1,073 |
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