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Emergency visit, highest (level 5) at Roosevelt Medical Center. CPT 99285.

What Roosevelt Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$372cash price (self-pay)
$972list price
$208–$1,571range insurers pay
Insurance planNegotiated rate
UnitedHeathcare | PPO$842
Blue Cross Blue Sheild | PPO$861
Three Rivers Provider Network | TRPN workers Comp$874
PacificSource | PPO$892
Allegiance | PPO$893
Blue Cross Blue Shield | Traditional$909
Mountain Health Co-op | PPO/POS$913
EBMS | SelectCare Network$922
Interwest | PPO$927
Interwest | Traditional Network$935
Three Rivers Provider Network | TRPN commercial plans$952
First Choice Health Network | Standard/Equitable Plans$1,043
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All common services at Roosevelt Medical Center