Emergency visit, highest (level 5) at CHI Health Lakeside. CPT 99285.

What CHI Health Lakeside publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$1,384cash price (self-pay)

$3,296list price

$333–$5,552range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|ACO	$333
Amerigroup \| Medicaid\|All Plans	$499
Centene \| Medicaid\|IA Total Care	$499
IAMolina \| Medicaid\|All Plans	$509
Centene \| Medicaid\|NE Total Care	$527
United \| Medicaid\|Community Plan	$527
BCBS - NE \| Medicare\|All Plans	$598
Humana \| Medicare\|All Plans	$598
Medica \| Medicare\|All Plans	$598
PACE \| Medicare\|All Plans	$598
United \| Medicare\|All Plans	$598
Todays Options \| Medicare\|All Plans	$609
Centene \| Medicare\|All Plans	$615
Amerigroup \| Medicare\|All Plans	$627
Great Plains \| Medicare\|All Plans	$627
ELAP \| Commercial\|All Plans	$923
AMPS \| Commercial\|All Plans	$1,326
Medica \| Commercial\|CHI Health	$1,689
Medica \| Commercial\|Open Access	$1,714
Midlands Choice \| Commercial\|Premier	$1,714
QuikTrip \| Commercial\|All Plans	$1,978
Medica \| Commercial\|All Other Plans	$2,302
Midlands Choice \| Commercial\|Standard	$2,472
PHCS \| Commercial\|All Plans	$2,472
MultiPlan \| Commercial\|All Plans	$2,802
Greater Omaha Packing \| Commercial\|Narrow Network	$4,289
Millard Public Schools \| Commercial\|Narrow Network	$4,289
One World \| Commercial\|Narrow Network	$4,289
Creighton University Employees \| Commercial\|All Plans	$4,580
Greater Omaha Packing \| Commercial\|Broad Network	$4,933

$1,384cash price (self-pay)

$3,296list price

$1,978–$2,802range insurers pay

Insurance plan	Negotiated rate
QuikTrip \| Commercial\|All Plans	$1,978
PHCS \| Commercial\|All Plans	$2,340
MultiPlan \| Commercial\|All Plans	$2,802

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