Emergency visit, highest (level 5) at Maple Grove Hospital. CPT 99285.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$741cash price (self-pay)
$1,406list price
$495–$1,429range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross [1021] | Mgh BCBS Pmap | $495 |
| Medicaid [1087] | Mgh Medicaid Mn | $512 |
| Blue Cross [1021] | Mgh BCBS Msho | $620 |
| Humana [2203] | Mgh Humana Med Adv | $620 |
| Medicare [1088] | Mgh Medicare | $620 |
| Ucare [1148] | Mgh Ucare Pmap | $620 |
| Medica [1086] | Medica Choice Care | $621 |
| Health Partners [1061] | Mgh Hp Med Adv | $621 |
| Medica [1086] | Mgh Medica Med Adv | $626 |
| Ucare [1148] | Mgh Ucare Med Adv | $639 |
| Blue Cross [1021] | Mgh BCBS Med Adv | $639 |
| Ucare [1148] | Mgh Ucare Msho | $639 |
| United Healthcare [2204] | Mgh UHC Med Adv | $645 |
| Allina Health-Aetna [2201] | Mgh Allina Health Aetna Medicare | $674 |
| Medica [1086] | Mgh Medica Msho | $708 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $952 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $1,012 |
| AETNA [2200] | Aetna Commercial/First Health | $1,055 |
| Phcs [1172] | Phcs Reimbursement Contract | $1,055 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $1,118 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $1,125 |
| Ucare [1148] | Mgh Ucare Ifb | $1,134 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $1,138 |
| Medica [1086] | Medica Acclaim | $1,296 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $1,331 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $1,429 |
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