Emergency visit, highest (level 5) at Providence Medical Center. CPT 99285.
What Providence Medical Center publishes for this service, straight from its standard-charges file, last updated October 29, 2025.
Outpatient / ER
$968cash price (self-pay)
$1,023list price
$601–$1,310range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Health (Healthy Blue) | Managed Medicaid | $604 |
| Nebraska Total Care | Managed Medicaid | $604 |
| United Healthcare Community Plan | Managed Medicaid | $604 |
| Medica | Commercial | $921 |
| Aetna | Commercial | $941 |
| Blue Cross Blue Shield | Commercial | $972 |
| Ambetter | Commercial | $982 |
| Multiplan | Commercial | $982 |
| Midland's Choice | Commercial | $1,003 |
| United Healthcare | Commercial | $1,003 |
Inpatient
$968cash price (self-pay)
$1,023list price
$917–$1,310range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial | $921 |
| Aetna | Commercial | $941 |
| Ambetter | Commercial | $982 |
| Multiplan | Commercial | $982 |
| Midland's Choice | Commercial | $1,003 |
| United Healthcare | Commercial | $1,003 |
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