Emergency visit, highest (level 5) at Good Samaritan Hospital. CPT 99285.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$2,438cash price (self-pay)
$3,250list price
$379–$1,785range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Commercial Plans | $383 |
| Aetna | Medicare Managed Care Plan | $580 |
| Medical Mutual of Ohio | Medicare Managed Care Plan | $592 |
| Buckeye | Advantage Medicare Managed Care Plan | $598 |
| BCBS | Anthem KY Pathway Transition HMO Exchange | $725 |
| Buckeye | Ambetter Exchange | $842 |
| Oscar | All Commercial Plans | $871 |
| BCBS | Anthem OH I and OH II PPO | $1,317 |
| Imagine Health | All Commercial Plans | $1,392 |
| Custom Design Benefits | Exclusive Other Commercial Plan | $1,428 |
| Custom Design Benefits | TruCost Other Commercial Plan | $1,492 |
| BCBS | Anthem Blue Connection HMO | $1,558 |
| MedBen | Tier 1 Other Commercial Plan | $1,590 |
| MedBen | Tier 2 Other Commercial Plan | $1,671 |
| BCBS | Anthem Blue Access PPO | $1,785 |
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