Emergency visit, highest (level 5) at Henry Ford Providence Southfield Hospital. CPT 99285.

What Henry Ford Providence Southfield Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$1,829cash price (self-pay)

$3,266list price

$194–$1,692range insurers pay

Insurance plan	Negotiated rate
Hap Alliance Health \| 1212_sjpk,Sjpr Ahlic 20241001	$194
Hap HMO POS \| 1217_sjpk,Sjpr Hap HMO 20241001	$194
Hap Preferred \| 1210_sjpk,Sjpr Hap Preferred 20241001	$228
Jvhl - Medicaid Replacement \| 1245_sjpk,Sjpr Medicaid Replacement HMO	$256
Molina Health \| 1081_sjpk,Sjpr Medicaid Replacement Molina Health Inpa	$256
Health Plan Of Mi Medicaid HMO \| 1083_sjpk,Sjpr Meridian Health Inpati	$256
Jvhl - Medicaid Replacement \| 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie	$256
Blue Caid Michigan \| 1266_sjpk,Sjpr Medicaid Replacement Blue Caid Of	$348
Great Lakes- UHC Community Plan \| 1247_sjpk,Sjpr Medicaid Replacement	$348
Harbor Health Mcd \| 1243_sjpr Medicaid Repleacement Harbor Health Outp	$348
Health Plan Of Mi Medicaid HMO \| 1262_sjpk,Sjpr Medicaid Replacement M	$348
Medicaid \| 1263_sjpk,Sjpr Mi Medicaid Outpatient 20250101	$348
Medicaid Replacement \| 1242_sjpr Medicaid HMO Outpatient 20250101	$348
Molina Health \| 1264_sjpk,Sjpr Medicaid Replacement Molina Health Outp	$348
Omnicare Medicaid HMO \| 1244_sjpr Medicaid Repleacement Omnicare Outpa	$348
Total Health Care \| 1246_sjpk,Sjpr Medicaid Replacement Total Health C	$348
Amerihealth Vip Care Mcr \| 1254_sjpk,Sjpr Medicare Advantage Ameriheal	$517
Aetna Medicare \| 1255_sjpk,Sjpr Medicare Advantage Aetna Outpatient 20	$601
Auto Insurance \| 1257_sjpk,Sjpr Auto Insurance Outpatient 20250101	$601
Jvhl - Mcr Replacement \| 1251_sjpk,Sjpr Medicare Advantage Jvhl Outpat	$601
Mcr Replacement \| 1253_sjpk,Sjpr Medicare Advantage HMO Outpatient 202	$601
Veterans Choice \| 1256_va Optum Health Outpatient 20250101	$601
Humana Mcr \| 1252_sjpk,Sjpr Medicare Advantage Humana Outpatient 20250	$607
Meridian Wellcare \| 1250_sjpk,Sjpr Medicare Advantage Meridian Wellcar	$631
Molina Advantage \| 1249_sjpk,Sjpr Medicare Advantage Molina Outpatient	$631
Meridian Ambetter \| 1258_sjpk,Sjpr Meridian Ambetter Outpatient 202501	$751
Molina Marketplace \| 1259_sjpk,Sjpr Molina Marketplace Outpatient 2025	$751
Smart Health \| 1261_sjpk,Sjpr Smart Health Outpatient 20250101	$829
Bc Metro Detroit EPO \| 1127_sjpr Blue Cross Blue Shield Metro Detroit	$1,232
Bc Metro Detroit HMO \| 1133_sjpr Blue Cross Blue Shield Metro Detroit	$1,232

Inpatient

—cash price (self-pay)

—list price

$348–$829range insurers pay

Insurance plan	Negotiated rate
Amerihealth Vip Care Mcr \| 1174_sjpk,Sjpr Medicare Advantage Ameriheal	$595
Aetna Medicare \| 1171_sjpk,Sjpr Medicare Advantage Aetna Inpatient 202	$601
Auto Insurance \| 1219_sjpk,Sjpr Auto Insurance Inpatient 20241001	$601
Health Plan Of Mi Medicaid HMO \| 1083_sjpk,Sjpr Meridian Health Inpati	$601
Jvhl - Mcr Replacement \| 1180_sjpk,Sjpr Medicare Advantage Jvhl Inpati	$601
Jvhl - Medicaid Replacement \| 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie	$601
Mcr Replacement \| 1183_sjpk,Sjpr Medicare Advantage HMO Inpatient 2024	$601
Veterans Choice \| 1230_va Optum Health Inpatient 20241001	$601
Humana Mcr \| 1177_sjpk,Sjpr Medicare Advantage Humana Inpatient 202410	$607
Meridian Wellcare \| 1189_sjpk,Sjpr Medicare Advantage Meridian Wellcar	$631
Molina Advantage \| 1192_sjpk,Sjpr Medicare Advantage Molina Inpatient	$631
Meridian Ambetter \| 1221_sjpk,Sjpr Meridian Ambetter Inpatient 2024100	$751
Molina Marketplace \| 1223_sjpk,Sjpr Molina Marketplace Inpatient 20241	$751
Smart Health \| 1227_sjpk,Sjpr Smart Health Inpatient 20241001	$829

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All common services at Henry Ford Providence Southfield Hospital