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Emergency visit, highest (level 5) at Jones Memorial Hospital. CPT 99285.

What Jones Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$139cash price (self-pay)
$278list price
$63.46–$1,947range insurers pay
Insurance planNegotiated rate
Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Blue Ch$67.42
Mvp Medicaid 1712, Mvp 2900 | Mvp Option Medicaid 171201, Mvp Essentia$133
Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Univera$137
Capital District Physicians (Cdphp) Medicaid 1704 | Capital District P$149
Aetna Medicare 1300, Aetna 2700 | Aetna Medicare 130001, Aetna Senior $153
Excellus Blue Cross Blue Shield 2201 | Excellus Metal Tiers 220102, Un$153
Medicare Blue Choice 1306 | Medicare Blue Choice 130601, Blue Medicare$153
Medicare Blue Choice 1306 | Univera Senior Choice Medicare 130603$156
Mvp 2900 | Mvp Premier Individual 290002, Mvp Premier Group 290003$162
Mvp Medicare 1307, Mvp Medicare Dual Access Dsnp 1321 | Mvp Medicare 1$162
Molina Medicaid 1723, Molina Healthcare 5189 | Molina Medicaid 172301,$163
Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Medicaid 170801, Fidelis$168
Empire Plan 5179, Empire Plan UHC 5180 | Empire Plan 517901, Empire Pl$171
Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Essential (W/ Medicaid) $176
Excellus Blue Cross Blue Shield 2201 | Univera 220104$197
Lifetime Benefit Solutions 2200, Excellus Blue Cross Blue Shield 2201,$217
Mvp 2900, Cigna 5144 | Mvp Commercial Non PPO Fully Insured 290001, Mv$224
Fidelis 5155 | Fidelis Metal Tiers 515501$227
Independent Health 5156 | Independent Health (Buffalo NY) 515601, Nova$323
Highmark Blue Cross Blue Shield Medicaid 1702 | Highmark BCBS Medicaid$346
Capital District Physicians Health Plan (Cdphp) 5149 | Capital Distric$432
Cdphp Medicare 1320 | Cdphp Medicare 132001$514
Upmc Health Plan 5138 | Upmc Health Plan 513801$597
Excellus Blue Cross Blue Shield 2201, Out Area Blue Cross Blue Shield,$796
Fidelis Medicare 1311 | Fidelis Medicare 131101$796
Humana Medicare 1312 | Humana Medicare 131201$796
Wellcare Medicare 1310 | Wellcare Medicare 131001$796
United Healthcare Medicare 1309 | United Healthcare Medicare 130901$796
Highmark Blue Cross Blue Shield Medicare 1301 | Highmark BCBS Medicare$796
Medicare Blue Choice 1306 | Medicare Blue Choice 130601$796
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All common services at Jones Memorial Hospital