Emergency visit, highest (level 5) at SBH Health System. CPT 99285.
What SBH Health System publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$196cash price (self-pay)
$3,480list price
$67.19–$874range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amida Care | Medicaid | $67.19 |
| Carelon Behavioral Health | CHP/Medicaid | $120 |
| MetroPlus Health | CHP/HARP/HIV SNP/Medicaid | $137 |
| MetroPlus Health | Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliess | $137 |
| SOMOS | CHP/HARP/Medicaid | $146 |
| SOMOS | Essential | $146 |
| Healthfirst | CHP/FHP/Medicaid | $156 |
| MetroPlus Health | Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (No | $166 |
| Healthfirst | Commercial | $195 |
| Healthfirst | Medicare Advantage | $205 |
| Fidelis | Essential Plan Aliesa | $406 |
| Fidelis | CHP/HARP/Medicaid | $425 |
| Fidelis | Essential Plan QHP | $426 |
| Fidelis | Qualified Health Plan | $426 |
| Healthfirst | Essential Plan | $439 |
| Centers Plan For Healthy Living | Dual Advantage/Medicare Advantage/Me | $472 |
| Fidelis | Medicare Advantage | $472 |
| Hamaspik Choice Inc | Medicare | $472 |
| Hamaspik Choice Inc | Medicaid | $472 |
| Healthfirst | QHP | $472 |
| Senior Whole Health | Medicare Advantage | $472 |
| VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Spec | $472 |
| MetroPlus Health | Commercial/Exchange/Gold Care/Medicare Advantage | $491 |
| Affinity | Essential Plan 1&2 | $524 |
| Affinity | Essential Plan 3&4 | $524 |
| Affinity | Medicaid/CHP/HARP | $524 |
| EmblemHealth | Commercial | $525 |
| Group Health Inc | Medicare | $525 |
| Group Health Inc | Commercial | $525 |
| United Healthcare | Commercial | $569 |
Inpatient
—cash price (self-pay)
$3,480list price
$1,740–$1,740range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hamaspik Choice Inc | Medicaid | $1,740 |
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