Emergency visit, highest (level 5) at fairview hospital. CPT 99285.
What fairview hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$2,750cash price (self-pay)
$4,230list price
$56.32–$3,807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OPTUM | Managed Medicaid Transplant | $56.32 |
| ANTHEM | Managed Medicaid | $62.24 |
| Buckeye | Managed Medicaid | $62.24 |
| MOLINA | Managed Medicaid | $62.24 |
| CARESOURCE | Managed Medicaid | $63.43 |
| AMERIHEALTH | Managed Medicaid | $65.21 |
| Anthem | Hpn | $317 |
| Cc Ehp | All Products | $430 |
| HUMANA | Medicare Advantage HMO | $557 |
| Aetna | Medicare Advantage | $563 |
| Anthem | Medicare Advantage | $563 |
| Devoted Health | Medicare Advantage | $563 |
| MMO | Medicare Advantage HMO | $568 |
| Cigna | Medicare Advantage | $580 |
| MMO | Medicare Advantage PPO | $585 |
| CommuniCare | MEDICARE ADVANTAGE | $592 |
| AETNA | Acop | $1,145 |
| AETNA | Asa_Whirlpool_Peia | $1,336 |
| AETNA | International | $1,403 |
| Anthem | PPO/HMO | $1,625 |
| Mmo | All Products | $1,634 |
| Aultcare | PPO/HMO | $1,764 |
| Amish Community Aid Plan | ALL PRODUCTS | $1,904 |
| Ohcp | All Products | $2,056 |
| Omas | All Products | $2,115 |
| Mmo | Nasco | $2,204 |
| Mmo | Traditional | $2,204 |
| Ohio Healthy | TRANSPLANT | $2,284 |
| Healthsmart | All Products | $2,327 |
| Anthem | Traditional | $2,362 |
Inpatient
$2,750cash price (self-pay)
$4,230list price
$1,196–$3,807range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $1,527 |
| Amish Community Aid Plan | ALL PRODUCTS | $2,115 |
| Anthem | Traditional | $2,438 |
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