Emergency visit, highest (level 5) at CHI Health Plainview. CPT 99285.
What CHI Health Plainview publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$417cash price (self-pay)
$1,080list price
$124–$2,253range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Medicare|All Plans | $570 |
| Humana | Medicare|All Plans | $570 |
| Medica | Medicare|All Plans | $570 |
| PACE | Medicare|All Plans | $570 |
| United | Medicare|All Plans | $570 |
| Centene | Medicare|All Plans | $581 |
| Todays Options | Medicare|All Plans | $581 |
| Amerigroup | Medicare|All Plans | $598 |
| Great Plains | Medicare|All Plans | $598 |
| Centene | Medicaid|NE Total Care | $702 |
| United | Medicaid|Community Plan | $702 |
| IAMolina | Medicaid|All Plans | $730 |
| BCBS - NE | Commercial|BluePrint | $975 |
| Medica | Commercial|All Other Plans | $983 |
| Medica | Commercial|CHI Health | $983 |
| BCBS - NE | Commercial|All Other Plans | $1,026 |
| United | Commercial|All Plans | $1,026 |
| Greater Omaha Packing | Commercial|Broad Network | $1,037 |
| Greater Omaha Packing | Commercial|Narrow Network | $1,037 |
| Medica | Commercial|ACO | $1,037 |
| Medica | Commercial|Open Access | $1,037 |
| Midlands Choice | Commercial|Premier | $1,037 |
| Midlands Choice | Commercial|Standard | $1,037 |
| Millard Public Schools | Commercial|Broad Network | $1,037 |
| Millard Public Schools | Commercial|Narrow Network | $1,037 |
| One World | Commercial|Broad Network | $1,037 |
| One World | Commercial|Narrow Network | $1,037 |
| QuikTrip | Commercial|All Plans | $1,037 |
| Timpte | Commercial|Broad Network | $1,037 |
| MultiPlan | Commercial|All Plans | $1,058 |
Inpatient
$417cash price (self-pay)
$1,080list price
$448–$1,631range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $975 |
| Medica | Commercial|All Other Plans | $983 |
| Medica | Commercial|CHI Health | $983 |
| BCBS - NE | Commercial|All Other Plans | $1,026 |
| United | Commercial|All Plans | $1,026 |
| Greater Omaha Packing | Commercial|Broad Network | $1,037 |
| Greater Omaha Packing | Commercial|Narrow Network | $1,037 |
| Medica | Commercial|ACO | $1,037 |
| Medica | Commercial|Open Access | $1,037 |
| Midlands Choice | Commercial|Premier | $1,037 |
| Midlands Choice | Commercial|Standard | $1,037 |
| Millard Public Schools | Commercial|Broad Network | $1,037 |
| Millard Public Schools | Commercial|Narrow Network | $1,037 |
| One World | Commercial|Broad Network | $1,037 |
| One World | Commercial|Narrow Network | $1,037 |
| QuikTrip | Commercial|All Plans | $1,037 |
| Timpte | Commercial|Broad Network | $1,037 |
| MultiPlan | Commercial|All Plans | $1,058 |
| PHCS | Commercial|All Plans | $1,058 |
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