Emergency visit, highest (level 5) at CHI Health St. Mary's. CPT 99285.
What CHI Health St. Mary's publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$412cash price (self-pay)
$1,086list price
$106–$1,608range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Medicaid|All Plans | $233 |
| IAMolina | Medicaid|All Plans | $237 |
| BCBS - NE | Medicare|All Plans | $397 |
| Humana | Medicare|All Plans | $397 |
| Medica | Medicare|All Plans | $397 |
| PACE | Medicare|All Plans | $397 |
| United | Medicare|All Plans | $397 |
| Centene | Medicare|All Plans | $405 |
| Amerigroup | Medicare|All Plans | $417 |
| Great Plains | Medicare|All Plans | $417 |
| Centene | Medicaid|NE Total Care | $445 |
| United | Medicaid|Community Plan | $445 |
| AMPS | Commercial|All Plans | $881 |
| BCBS - NE | Commercial|BluePrint | $980 |
| Medica | Commercial|All Other Plans | $988 |
| Medica | Commercial|CHI Health | $988 |
| BCBS - NE | Commercial|All Other Plans | $1,031 |
| MultiPlan PHCS | Commercial|All Plans | $1,031 |
| Greater Omaha Packing | Commercial|Broad Network | $1,042 |
| Greater Omaha Packing | Commercial|Narrow Network | $1,042 |
| Medica | Commercial|ACO | $1,042 |
| Medica | Commercial|Open Access | $1,042 |
| Midlands Choice | Commercial|Premier | $1,042 |
| Midlands Choice | Commercial|Standard | $1,042 |
| Millard Public Schools | Commercial|Broad Network | $1,042 |
| Millard Public Schools | Commercial|Narrow Network | $1,042 |
| One World | Commercial|Broad Network | $1,042 |
| One World | Commercial|Narrow Network | $1,042 |
| Timpte | Commercial|Broad Network | $1,042 |
| United | Commercial|All Plans | $1,042 |
Inpatient
$412cash price (self-pay)
$1,086list price
$448–$1,608range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS - NE | Commercial|BluePrint | $980 |
| Medica | Commercial|All Other Plans | $988 |
| Medica | Commercial|CHI Health | $988 |
| BCBS - NE | Commercial|All Other Plans | $1,031 |
| MultiPlan PHCS | Commercial|All Plans | $1,031 |
| Greater Omaha Packing | Commercial|Broad Network | $1,042 |
| Greater Omaha Packing | Commercial|Narrow Network | $1,042 |
| Medica | Commercial|ACO | $1,042 |
| Medica | Commercial|Open Access | $1,042 |
| Midlands Choice | Commercial|Premier | $1,042 |
| Midlands Choice | Commercial|Standard | $1,042 |
| Millard Public Schools | Commercial|Broad Network | $1,042 |
| Millard Public Schools | Commercial|Narrow Network | $1,042 |
| One World | Commercial|Broad Network | $1,042 |
| One World | Commercial|Narrow Network | $1,042 |
| Timpte | Commercial|Broad Network | $1,042 |
| United | Commercial|All Plans | $1,042 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.