Emergency visit, highest (level 5) at Henry Ford Jackson Hospital. CPT 99285.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$262cash price (self-pay)
$590list price
$109–$2,408range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HAP | HAP Caresource Medicaid-FAC | $109 |
| Aetna Better Health | Medicaid HMO-FAC | $115 |
| Blue Cross | Blue Cross Complete-Child-FAC | $115 |
| Blue Cross | Blue Cross Complete-Adult-FAC | $115 |
| Humana Military | Tricare-NonPhysician-NONFAC | $130 |
| Humana Military | Tricare-NonPhysician-FAC | $139 |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-FAC | $146 |
| HAP | Medicare Advantage HMO/PPO-NonPhysician-NONFAC | $146 |
| Humana Military | Tricare-Physician-NONFAC | $161 |
| Humana Military | Tricare-Physician-FAC | $161 |
| Aetna | Medicare Advantage/Dual Products-FAC | $172 |
| Aetna | Medicare Advantage/Dual Products-NONFAC | $172 |
| Blue Cross | Medicare Plus Blue-NONFAC | $172 |
| Blue Cross | BCN Medicare Advantage -FAC | $172 |
| Blue Cross | Medicare Plus Blue-FAC | $172 |
| Blue Cross | BCN Medicare Advantage -NONFAC | $172 |
| Cascade Thome Pace | All Products-FAC | $172 |
| Cascade Thome Pace | All Products-NONFAC | $172 |
| HAP | Medicare Advantage HMO/PPO-Physician-FAC | $172 |
| HAP | Medicare Advantage HMO/PPO-Physician-NONFAC | $172 |
| HAP | HAP Dual Products-FAC | $172 |
| HAP | Medicare Advantage-FAC | $172 |
| HAP | HAP Dual Products-NONFAC | $172 |
| HAP | Medicare Advantage-NONFAC | $172 |
| Humana | Medicare Advantage-FAC | $172 |
| Humana | Medicare Advantage-NONFAC | $175 |
| Hap | HMO/Ahl-Nonfac | $224 |
| Hap | HMO/Ahl-Fac | $224 |
| Aetna | All Products-FAC | $230 |
| Aetna | All Products-NONFAC | $230 |
Inpatient
—cash price (self-pay)
$2,639list price
$1,325–$2,375range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Commercial | $1,945 |
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