Emergency visit, highest (level 5) at Mary Imogene Bassett Hospital. CPT 99285.
What Mary Imogene Bassett Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$164cash price (self-pay)
$907list price
$143–$2,389range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mvp | Managed Medicaid | $143 |
| BCBS | Excellus Preferred | $174 |
| United Healthcare | NY Power Authority | $239 |
| Cigna | Assurant | $278 |
| Mvp | Preferred | $278 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $461 |
| BCBS | Excellus Blue | $613 |
| BCBS | Excellus Medicare Advantage | $613 |
| Aetna | Medicare Advantage | $777 |
| BCBS | Anthem Medicare Advantage | $777 |
| BCBS | Excellus Blue Medicare Advantage | $777 |
| BCBS | Highmark Medicare Advantage | $777 |
| Cdphp | Medicare Advantage | $777 |
| Emblem | Medicare Advantage | $777 |
| Fidelis | Medicare Advantage | $777 |
| Humana | Medicare Advantage | $777 |
| Mvp | Medicare Advantage | $777 |
| United Healthcare | Madicare Advantage | $777 |
| BCBS | Highmark | $1,116 |
| Cigna | Mvp | $1,264 |
| BCBS | Anthem Exchange | $2,389 |
| BCBS | Empire Exchange | $2,389 |
| BCBS | Empire Managed Medicaid | $2,389 |
Inpatient
$164cash price (self-pay)
$327list price
$67.19–$295range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Excellus Child Health Plus Managed Medicaid | $145 |
| BCBS | Excellus Essential Managed Medicaid | $145 |
| BCBS | Excellus Healthy NY EPO Managed Medicaid | $145 |
| BCBS | Excellus Healthy NY Managed Medicaid | $145 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $145 |
| BCBS | Excellus Safety Net | $145 |
| Cdphp | Child Health Plus | $156 |
| Cdphp | Managed Medicaid | $156 |
| BCBS | Anthem Medicare Advantage | $164 |
| BCBS | Excellus Blue Medicare Advantage | $164 |
| BCBS | Excellus Blue Medicare Advantage PPO | $164 |
| BCBS | Excellus Medicare Advantage HMO/POS | $164 |
| BCBS | Excellus Medicare Advantage PPO | $164 |
| BCBS | Excellus Sr Federal | $164 |
| BCBS | Highmark Medicare Advantage | $164 |
| Cdphp | Medicare Advantage HMO | $164 |
| Cdphp | Medicare Advantage PPO | $164 |
| Aetna | Medicare Advantage HMO | $169 |
| Aetna | Medicare Advantage PPO/EPO | $169 |
| Cdphp | Essentials | $187 |
| BCBS | Excellus Preferred | $199 |
| BCBS | Excellus | $212 |
| BCBS | Excellus Alliance | $212 |
| BCBS | Excellus Blue Card | $212 |
| BCBS | Excellus Exchange | $212 |
| BCBS | Excellus Federal | $212 |
| BCBS | Excellus HMO Blue Access | $212 |
| BCBS | Excellus PPO/EPO | $212 |
| BCBS | Excellus Preferred PPO | $212 |
| BCBS | Empire Exchange | $232 |
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