Emergency visit, highest (level 5) at Adena Pike Medical Center. CPT 99285.
What Adena Pike Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$1,127cash price (self-pay)
$2,253list price
$541–$2,140range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Advantage | $541 |
| Humana | Medicare Advantage | $541 |
| Medigold | Medicare Advantage | $541 |
| Medical Mutual of Ohio | Medicare Advantage | $541 |
| Buckeye Community Health Plan | Medicare Advantage | $541 |
| Aetna | Medicare Advantage | $541 |
| Care Source | Medicare Advantage | $552 |
| Anthem | Medicare Advantage | $698 |
| Gateway Health | Commercial | $744 |
| United Healthcare | All Plans | $970 |
| Molina Marketplace | Commercial | $1,217 |
| Care Source Just4Me | Commercial | $1,217 |
| Anthem Ohio Exchange | PPO | $1,485 |
| Anthem Ohio Exchange | HMO | $1,485 |
| Sidecar Health | Commercial | $1,487 |
| The Health Plan | Commercial | $1,577 |
| Ohio PPO Connect | Commercial | $1,577 |
| Medical Mutual of Ohio SuperMed | Commercial | $1,617 |
| Medical Mutual of Ohio | Managed Care | $1,617 |
| Great West Health Care/Cigna | Commercial | $1,631 |
| Anthem | Traditional | $1,670 |
| First Health | Commercial | $1,766 |
| Ohio Health Choice | Commercial | $1,794 |
| Aetna (Cofinity/Meritain) | Commercial | $1,834 |
| Anthem Pathway | HMO/PPO | $1,944 |
| Integrated Health Plan | Commercial | $2,118 |
| HealthSmart | Emerald Commercial Products | $2,140 |
| Multiplan/Private Healthcare Systems | Commercial | $2,140 |
| Three Rivers Network | Commercial | $2,140 |
Inpatient
$1,127cash price (self-pay)
$2,253list price
$1,428–$2,140range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | PPO | $1,428 |
| Anthem Ohio Exchange | HMO | $1,428 |
| The Health Plan | Commercial | $1,577 |
| Ohio PPO Connect | Commercial | $1,577 |
| Medical Mutual of Ohio SuperMed | Commercial | $1,617 |
| Medical Mutual of Ohio | Managed Care | $1,617 |
| Great West Health Care/Cigna | Commercial | $1,631 |
| Anthem | Traditional | $1,670 |
| First Health | Commercial | $1,766 |
| Ohio Health Choice | Commercial | $1,794 |
| Aetna (Cofinity/Meritain) | Commercial | $1,834 |
| Anthem Pathway | HMO/PPO | $1,893 |
| Integrated Health Plan | Commercial | $2,118 |
| HealthSmart | Emerald Commercial Products | $2,140 |
| Multiplan/Private Healthcare Systems | Commercial | $2,140 |
| Three Rivers Network | Commercial | $2,140 |
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