Emergency visit, highest (level 5) at Prague Regional Memorial Hospital. CPT 99285.
What Prague Regional Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 30, 2026.
Outpatient / ER
$165cash price (self-pay)
$624list price
$39.00–$1,301range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS HMO/Adv PPO | BCBS HMO/Adv PPO | $39.00 |
| BCBS Blue Pref PPO | BCBS Blue Pref PPO | $47.00 |
| BCBS Blue Choice PPO | BCBS Blue Choice PPO | $52.00 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $55.00 |
| BCBS Native Blue | BCBS Native Blue | $170 |
| UHC Comm - All Other Plans | UHC Comm - All Other Plans | $458 |
| Hch Comm - All Plans | Hch Comm - All Plans | $474 |
| BCBS Mcare Select | BCBS Mcare Select | $476 |
| Humana Mcr Adv | Humana Mcr Adv | $476 |
| Va Ccn - All Plans | Va Ccn - All Plans | $476 |
| BCBS Mcr Adv | BCBS Mcr Adv | $476 |
| UHC Mcr Adv | UHC Mcr Adv | $476 |
| Wellcare Mcr Adv - All Plans | Wellcare Mcr Adv - All Plans | $476 |
| Aetna Mcr Adv | Aetna Mcr Adv | $488 |
| Aetna Comm - All Other Plans | Aetna Comm - All Other Plans | $528 |
| Cigna - All Plans | Cigna - All Plans | $580 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $583 |
| Ambetter Exchange - All Plans | Ambetter Exchange - All Plans | $724 |
| Aetna Better Hlth | Aetna Better Hlth | $913 |
| Sonnerselect Mcaid - All Plans | Sonnerselect Mcaid - All Plans | $913 |
| Humana Mcaid | Humana Mcaid | $913 |
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