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Emergency visit, highest (level 5) at Plaistow Emergency Room. CPT 99285.

What Plaistow Emergency Room publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$10,476cash price (self-pay)
$10,476list price
$324–$12,571range insurers pay
Insurance planNegotiated rate
AmeriHealth Caritas | MCD$324
Well Sense Health Plan | MCD$785
United | FreedomBenefitPlans$2,200
Maine Community Health | Individual$3,276
Maine Community Health | SmallGroup$3,276
United | AllPayerAppendix$4,400
Anthem | INDEMNITY$4,578
Anthem | BlueChoice$5,135
Maine Community Health | LargeGroup$5,551
Aetna | EPO$5,932
Aetna | HMO$5,932
Aetna | POS$5,932
Aetna | PPO$5,932
Anthem | HMO$5,949
Anthem | POS$5,949
Tufts Health Plan | POS$5,992
Tufts Health Plan | HMO$6,172
Tufts Health Plan | PPO$6,172
United | OptionsPPO$6,359
CorVel | WorkersComp$7,542
EverNorth | COMM$8,380
Healthcare Value Mgmt | COMM$8,799
First Health | PPO$8,904
Cigna | HMO$9,869
Oxford Health Plans | COMM$9,952
Anthem | FEP$10,802
Anthem | PPO$10,802
Cigna | PPO$12,571
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All common services at Plaistow Emergency Room