Emergency visit, highest (level 5) at Saint Alphonsus Medical Center-Ontario. CPT 99285.
What Saint Alphonsus Medical Center-Ontario publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$392cash price (self-pay)
$6,469list price
$121–$9,583range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Id | Medicaid | $1,009 |
| Blue Cross - Sc Medicaid Advantage | Medicaid | $1,781 |
| Mclaren Health Medicaid | Medicaid | $1,781 |
| Medicaid - Nc | Medicaid | $1,781 |
| Rx 340b Pass Along | Medicaid | $1,781 |
| Medicaid - Nd | Medicaid | $1,781 |
| Commonwealth Care Alliance Medicaid | Medicaid | $1,781 |
| Illinicare Health Medicaid Advantage | Medicaid | $1,781 |
| Fallon Health Medicaid Advantage | Medicaid | $1,781 |
| Medicaid - Ok | Medicaid | $1,781 |
| Indiana Breast Cervical Cancer | Medicaid | $1,781 |
| Bcccp-Michigan | Medicaid | $1,781 |
| Health Safety Net | Medicaid | $1,781 |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Medicaid | $1,781 |
| Medicaid - Oh | Medicaid | $1,781 |
| Huron Valley Pace Medicaid | Medicaid | $1,781 |
| Medicaid - Nv | Medicaid | $1,781 |
| Family Health Network | Medicaid | $1,781 |
| Medicaid - FL | Medicaid | $1,781 |
| Aetna Medicaid | Medicaid | $1,781 |
| Simply Healthcare Medicaid | Medicaid | $1,781 |
| Emblem Health Medicaid | Medicaid | $1,781 |
| Medicaid - Dc | Medicaid | $1,781 |
| Trilogy Medicaid | Medicaid | $1,781 |
| Medicaid - De | Medicaid | $1,781 |
| Medicaid - In | Medicaid | $1,781 |
| Cigna Medicaid Advantage | Medicaid | $1,781 |
| Wellcare Medicaid | Medicaid | $1,781 |
| Nextlevel Health | Medicaid | $1,781 |
| Medicaid - IL | Medicaid | $1,781 |
Inpatient
$393cash price (self-pay)
$393list price
$109–$393range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Geisinger Medicaid Advantage | Medicaid | $135 |
| Ucare Medicaid | Medicaid | $135 |
| Rx Allwin | Medicare | $163 |
| Pace Of Southwest Michigan | Medicare | $163 |
| Php Medicare | Medicare | $163 |
| Sunshine Health Medicare Advantage | Medicare | $163 |
| Tufts Medicare Advantage | Medicare | $163 |
| Univera Healthcare Medicare Advantage | Medicare | $163 |
| Upmc Medicare Advantage | Medicare | $163 |
| Blue Cross - Ky (Anthem) Medicare Advantage | Medicare | $163 |
| Blue Cross - Ga (Anthem) Medicare Advantage | Medicare | $163 |
| Blue Cross - Ne Medicare Advantage | Medicare | $163 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $163 |
| Total Healthcare Medicare Snp | Medicare | $163 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $163 |
| Connecticare Vip Medicare | Medicare | $163 |
| Medicare | Medicare | $163 |
| Blue Cross - Mn Medicare Advantage | Medicare | $163 |
| Blue Cross - IL Medicare Advantage | Medicare | $163 |
| Blue Cross - Wi (Anthem) Medicare Advantage | Medicare | $163 |
| Phoenix Medicare Advantage | Medicare | $163 |
| Coventry Medicare Advantage | Medicare | $163 |
| Cigna Medicare Advantage | Medicare | $163 |
| Blue Cross - Mi Medicare Advantage | Medicare | $163 |
| Elementcare | Medicare | $163 |
| Medicare Puerto Rico | Medicare | $163 |
| Mercyone Cedar Valley | Medicare | $163 |
| BCBS Medicare Advantage Generic | Medicare | $163 |
| Cca - Zing Health | Medicare | $163 |
| Paramount Medicare Advantage | Medicare | $163 |
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All common services at Saint Alphonsus Medical Center-Ontario