Emergency visit, highest (level 5) at Frisbie Memorial Hospital. CPT 99285.
What Frisbie Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$4,399cash price (self-pay)
$4,674list price
$362–$13,807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $385 |
| Well Sense Health Plan | MCD | $571 |
| Maine Community Health | Individual | $1,333 |
| Maine Community Health | SmallGroup | $1,333 |
| Tufts Health Plan | HMO | $1,603 |
| Tufts Health Plan | PPO | $1,603 |
| United | FreedomBenefitPlans | $1,603 |
| Anthem | INDEMNITY | $1,870 |
| United | AllPayerAppendix | $1,958 |
| Maine Community Health | LargeGroup | $2,259 |
| Tufts Health Plan | POS | $2,674 |
| United | OptionsPPO | $2,818 |
| EverNorth | COMM | $3,739 |
| Aetna | EPO | $4,735 |
| Aetna | HMO | $4,735 |
| Aetna | POS | $4,735 |
| Aetna | PPO | $4,735 |
| Anthem | BlueChoice | $5,135 |
| Anthem | HPN | $5,390 |
| Anthem | HMO | $5,989 |
| Anthem | IndividualOffExhange | $5,989 |
| Anthem | POS | $5,989 |
| Cigna | HMO | $10,778 |
| Anthem | FEP | $10,876 |
| Anthem | PPO | $10,876 |
| Cigna | PPO | $13,807 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.