Emergency visit, highest (level 5) at Avita Ontario Hospital. CPT 99285.
What Avita Ontario Hospital publishes for this service, straight from its standard-charges file, last updated March 23, 2026.
Outpatient / ER
$1,298cash price (self-pay)
$1,527list price
$62.84–$5,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medical_Mutual | Commercial | $62.84 |
| Caresource | Medicaid_Outpatient | $116 |
| Traditional_Medicaid | Outpatient | $116 |
| Molina | Medicaid_Outpatient | $116 |
| OhioRise | Medicaid_Outpatient | $116 |
| United_HealthCare | Medicaid_Outpatient | $116 |
| Anthem | Medicaid_Outpatient | $119 |
| AmeriHealth | Medicaid_Outpatient | $122 |
| Buckeye | Medicaid_Outpatient | $125 |
| Humana_Horizons | Medicaid_Outpatient | $125 |
| Aetna | Medicare_Outpatient | $188 |
| Anthem | Medicare_Outpatient | $188 |
| Buckeye | Medicare_Outpatient | $188 |
| Humana | Medicare_Outpatient | $188 |
| Traditional_Medicare | Outpatient | $188 |
| Mount_Carmel | Medicare_Outpatient | $188 |
| Molina | Medicare_Outpatient | $188 |
| United_HealthCare | Medicare_Outpatient | $188 |
| Medical_Mutual | Medicare_Outpatient | $191 |
| Anthem | Blue_Access_Blue_Preferred | $762 |
| Molina | Marketplace_Outpatient | $782 |
| Anthem | Traditional_Blue_Access_Blue_Preferred | $924 |
| Anthem | Blue_Access_I-II_Enhanced_Choice_Pathway_X | $931 |
| Anthem | Pathway_Group_HMO_Pathway_X | $1,012 |
| Cigna | Commercial | $1,190 |
| Aetna | All_Commercial | $1,298 |
| United_HealthCare | Commercial | $1,298 |
| Anthem | Medicare_Inpatient | $3,518 |
| Buckeye | Medicare_Inpatient | $3,518 |
| Humana | Medicare_Inpatient | $3,518 |
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