Emergency visit, highest (level 5) at Mercy Hospital Boonville. CPT 99285.
What Mercy Hospital Boonville publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$529cash price (self-pay)
$1,890list price
$12.00–$2,796range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Summit Community Care Contracted [320368] | Hb Bnvar Summit | $51.00 |
| Summit Community Care [20368] | Hb Bnvar Ark Medicaid | $51.00 |
| Medicaid [20240] | Hb Bnvar Ark Medicaid | $51.00 |
| Caresource Medicaid Contracted [320460] | Hb Bnvar Caresource Medicaid | $52.02 |
| Caresource Medicaid [20460] | Hb Bnvar Caresource Medicaid | $52.02 |
| Empower Healthcare Solutions Medicaid Contracted [320118] | Hb Bnvar P | $64.77 |
| Empower Healthcare Solutions Medicaid [20118] | Hb Bnvar Passe Empower | $64.77 |
| Arkansas Total Care [20039] | Hb Bnvar Passe Ar Total Care | $116 |
| Arkansas Total Care Contracted [320039] | Hb Bnvar Passe Ar Total Care | $116 |
| Aetna Medicaid Contracted [320009] | Hb Bnvar Ok Managed Medicaid | $546 |
| Medicaid [20240] | Hb Bnvar Ok Medicaid | $546 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Bnvar Ok MA | $546 |
| Humana Medicaid Contracted [320486] | Hb Bnvar Ok Managed Medicaid | $546 |
| Provider Partners Health Plans Contracted [320450] | Hb Bnvar Managed | $553 |
| Medica Medicare Advantage Contracted [320477] | Hb Bnvar Managed Medic | $553 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Bnvar Managed Medicare | $553 |
| Kindful Hospice Contracted [320434] | Hb Bnvar Managed Medicare | $553 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Bnvar Managed Med | $553 |
| United Behavioral Health Medicare Advantage Contracted [320392] | Hb B | $553 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Bnvar Novasys Mcr | $570 |
| Ambetter Contracted [320452] | Hb Bnvar Novasys Ambetter Exchange | $763 |
| Mc Anthem [20455] | Hb Bnvar Blue Cross | $1,041 |
| Blue Cross And Blue Shield [20053] | Hb Bnvar Blue Cross | $1,041 |
| Usable Contracted [320409] | Hb Bnvar Blue Cross | $1,041 |
| Auxiant Contracted [320462] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec City | $1,128 |
| Auxiant Contracted [320462] | Hb Ftsm Rogr Dec Buchheit | $1,128 |
| Optum Health Behavioral Solutions [520250] | Hb Ftsm,Wldar,Ozkar,Prsar | $1,204 |
| United Healthcare Contracted [320396] | Hb Ftsm,Wldar,Ozkar,Prsar,Bnvr | $1,204 |
| United Medical Resources Contracted [320454] | Hb Ftsm,Wldar,Ozkar,Prs | $1,204 |
| United Healthcare [20396] | Hb Ftsm,Wldar,Ozkar,Prsar,Bnvr UHC | $1,204 |
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