Emergency visit, highest (level 5) at Ira Davenport Memorial Hospital. CPT 99285.
What Ira Davenport Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$311cash price (self-pay)
$1,554list price
$132–$1,554range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | All Products Non MD | $132 |
| Empire | All Products MD | $157 |
| Excellus BCBS | Managed Medicaid | $333 |
| FIDELIS | Managed Medicaid_Aliessa and CHP | $333 |
| FIDELIS | Essential Plan QHP | $400 |
| Excellus BCBS | Medicare Advantage | $639 |
| FIDELIS | Health Benefit Exchange | $639 |
| Excellus BCBS | All Products | $651 |
| Aetna | All Products | $1,321 |
| EMBLEM/GHI | All Products | $1,367 |
| UHC | All Products | $1,554 |
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