Emergency visit, highest (level 5) at Mount St. Mary's Hospital. CPT 99285.
What Mount St. Mary's Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$411cash price (self-pay)
$411list price
$67.19–$2,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Catholic Health Life Pace [400005] | Catholic Health Life Pace [400005 | $166 |
| NO FAULT [114001] | Farmers Insurance [11500104] | $360 |
| WORKERS COMPENSATION [500101] | Chubb WC - Corvel [5005005] | $360 |
| Workers Compensation [500101] | City Of Buffalo [50010108] | $360 |
| Workers Compensation [500101] | Federal Insurance Company [50010119] | $360 |
| Workers Compensation [500101] | The Hartford [50010102] | $360 |
| Workers Compensation [500101] | Zurich [50010117] | $360 |
| No Fault [114001] | Safeco Nf [11500106] | $360 |
| No Fault [114001] | Usaa [11500101] | $360 |
| Workers Compensation [500101] | Esis [50010116] | $360 |
| WORKERS COMPENSATION [500101] | MEMIC Indemnity Co - CORVEL [5005011] | $360 |
| No Fault [114001] | Allstate Ins [11400104] | $360 |
| No Fault [114001] | Erie Insurance Nf [1140113] | $360 |
| BCBS Medicare [450116] | Senior Blue Select [45011604] | $442 |
| Tricare [600100] | Usfhp Martins Point Health Care [60010003] | $446 |
| Univera Healthcare [100169] | Univera Healthy NY [10016909] | $446 |
| Medicare Alternate Payor [888] | Medicare Part B Alternate [88801] | $455 |
| Medicare Covid Vac Alt [40000101] | Medicare Covid Vac Alt [4000010102 | $455 |
| Medicare HMO Other [450117] | Medicare HMO Other [45011701] | $455 |
| Va Veterans Affairs [700001] | Va [70000101] | $456 |
| Va Veterans Affairs [700001] | Va Ccn Optum [70000103] | $456 |
| Wellcare [450129] | Wellcare HMO [45012901] | $472 |
| United Healthcare Medicare [450021] | UHC Medicare HMO [45002110] | $477 |
| Univera Healthcare Medicare [450124] | Medicare PPO Univera [45012402] | $494 |
| Univera Healthcare Medicare [450124] | Senior Choice [45012401] | $494 |
| Univera Healthcare Medicare [450124] | Univera Medicare Dual [45012403 | $494 |
| Federal Workers Compensation [500100] | Division Of Federal Employees | $596 |
| Federal Workers Compensation [500100] | Division Of Energy Employees O | $596 |
| BCBS Community Blue [100173] | POS Align Select [10017312] | $623 |
| BCBS Community Blue [100173] | Preferred Choice POS [10017313] | $623 |
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