Emergency visit, highest (level 5) at Mount Carmel Dublin Hospital. CPT 99285.
What Mount Carmel Dublin Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$367cash price (self-pay)
$367list price
$109–$7,949range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medigold Medicare Advantage | Medigold Medicare Advantage | $505 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $563 |
| Blue Cross - Oh (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $563 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $574 |
| Medical Mutual Medicare | Medical Mutual Medicare Advantage | $574 |
| The Health Plan | Health Plan Of Ohio Valley Medicare Adv | $586 |
| Aetna Medicare Advantage | Aetna Better Health Medicare Advantage | $591 |
| Molina Medicare Advantage | Molina Medicare Advantage | $591 |
| Caresource Medicare | Caresource Medicare Advantage | $591 |
| Universal Medicare | Universal Medicare Advantage | $603 |
| Oscar | Oscar | $947 |
| Enterprise Group Planning | Enterprise Group Planning Medicare Adv | $1,108 |
| Custom Design Benefits | Custom Design Benefit | $1,200 |
| Quality Care Partners | Quality Care Partners | $1,298 |
| Medical Mutual | Medical Mutual Medflex | $1,411 |
| Blue Cross - Oh (Anthem) | Anthem BCBS Pathway Grp HMO | $1,782 |
| Western & Southern Financial Group | Medical Mutual Supermed PPO POS H | $1,945 |
| Medical Mutual | Medical Mutual Supermed PPO POS HMO | $1,945 |
| American Healthcare Alliance | Cofinity | $2,171 |
| Us Health And Life | Cofinity | $2,171 |
| Automated Benefit Services | Cofinity | $2,171 |
| Unified Group Services | Cofinity | $2,171 |
| Secureone Preferred United Plans | Cofinity | $2,171 |
| Cam Administrative Services | Cofinity | $2,171 |
| Valenz | Cofinity | $2,171 |
| Insight | Cofinity | $2,171 |
| Auxiant | Cofinity | $2,171 |
| Amerihealth | Cofinity | $2,171 |
| Forest County Potawatomi | Cofinity | $2,171 |
| Painters Union Insurance Fund | Cofinity | $2,171 |
Inpatient
$401cash price (self-pay)
$401list price
$109–$401range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Pb Xr 100% Default | $401 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $401 |
| Dentaquest | Pb Xr 100% Default | $401 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $401 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $401 |
| Union Health Service | Pb Xr 100% Default | $401 |
| Everence | Pb Xr 100% Default | $401 |
| The Health Plan | Pb Xr 100% Default | $401 |
| Molina Medicare Advantage | Pb Xr 100% Default | $401 |
| Rx Pharmacare | Pb Xr 100% Default | $401 |
| Rx Prime Therapeutics | Pb Xr 100% Default | $401 |
| Rx Rx America | Pb Xr 100% Default | $401 |
| Rx Health Partners | Pb Xr 100% Default | $401 |
| Rx Vrx | Pb Xr 100% Default | $401 |
| Rx Group Management Services | Pb Xr 100% Default | $401 |
| Rx Meridian Rx | Pb Xr 100% Default | $401 |
| Rx Medone Health Care | Pb Xr 100% Default | $401 |
| Rx United Healthcare | Pb Xr 100% Default | $401 |
| Wc Secura | Pb Xr 100% Default | $401 |
| Wc Paradigm | Pb Xr 100% Default | $401 |
| Rx Medicare Part B | Pb Xr 100% Default | $401 |
| Rx Third Party Solutions | Pb Xr 100% Default | $401 |
| Rx Maxorplus | Pb Xr 100% Default | $401 |
| Rx Healthtrans | Pb Xr 100% Default | $401 |
| Rx Procare Rx | Pb Xr 100% Default | $401 |
| Rx Eho | Pb Xr 100% Default | $401 |
| Rx Ramsell Public Health Rx | Pb Xr 100% Default | $401 |
| Rx Emdeon | Pb Xr 100% Default | $401 |
| Rx Independent Health | Pb Xr 100% Default | $401 |
| Rx Express Scripts | Pb Xr 100% Default | $401 |
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