Emergency visit, highest (level 5) at Gundersen St. Elizabeth Hospital and Clinics. CPT 99285.
What Gundersen St. Elizabeth Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$1,149cash price (self-pay)
$1,887list price
$126–$3,798range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicaid | $126 |
| Group Health of South Central | Medicaid HMO | $126 |
| Iowa Total Care | Medicaid | $126 |
| Managed Health Service | Managed Medicaid | $126 |
| Quartz | Medicaid_Badgercare | $126 |
| South County | Managed Medicaid | $126 |
| Bcbsmn | Mhcp | $467 |
| Quartz | All Products | $798 |
| Quartz | All Other Self Funded | $830 |
| Quartz | Self Funded | $887 |
| Quartz | Level Funded | $915 |
| Health Partners | Medicaid HMO | $944 |
| Aetna | Medicare Advantage | $1,019 |
| Quartz | Fully Insured | $1,028 |
| Medica | Medicare Advantage | $1,038 |
| Medica | AccessAbilty Solution | $1,078 |
| Medica | Minnesota Care | $1,078 |
| Health Partners | Medicare Cost | $1,132 |
| Anthem | Medicare HMO/PPO | $1,227 |
| Health Partners | Medicare Advantage | $1,227 |
| Humana | Medicare Advantage | $1,227 |
| Quartz | Medicare Advantage | $1,227 |
| South County | Managed Medicare | $1,227 |
| UCARE | Dually Eligible | $1,227 |
| UCARE | Non-Dually Eligible | $1,227 |
| BCBSMN | All Products | $1,299 |
| Alliance | Premier/All Products | $1,490 |
| Alliance | Comprehensive/All Products | $1,490 |
| Group Health of South Central | All Products | $1,510 |
| Trilogy | All Products | $1,510 |
Inpatient
$1,149cash price (self-pay)
$1,887list price
$467–$1,812range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $1,111 |
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All common services at Gundersen St. Elizabeth Hospital and Clinics