Emergency visit, highest (level 5) at St. Clair Hospital. CPT 99285.
What St. Clair Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$508cash price (self-pay)
$2,047list price
$55.00–$2,047range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth | AmeriHealth Caritas Community Health Choices Plan | $55.00 |
| Highmark | Wholecare Medicaid | $131 |
| Aetna | Aetna Better Health | $139 |
| Geisinger | Geisinger Medicaid | $147 |
| Health Partners | Health Partners Medicaid | $147 |
| Highmark | Freedom Blue Medicare | $517 |
| Highmark | Community Blue Medicare Advantage | $540 |
| Highmark | Community Blue Medicare HMO | $540 |
| Highmark | Complete Blue | $540 |
| Highmark | Complete Blue Medicare Advantage | $540 |
| AmeriHealth | AmeriHealth Caritas Medicare Advantage | $580 |
| Humana | Humana Medicare Plans | $580 |
| United Healthcare | PA AARP Medicare Advantage Plans | $580 |
| United Healthcare | PA Dual Complete Special Needs Plans | $580 |
| United Healthcare | PA Erickson Advantage Champion/Guardian Plans | $580 |
| United Healthcare | PA Erickson Advantage Freedom/Liberty/Signature Pl | $580 |
| United Healthcare | PA Group Medicare Advantage Plans | $580 |
| United Healthcare | PA UHC Care Advantage | $580 |
| Aetna | Aetna Advantra | $597 |
| Aetna | Aetna/Coventry HealthAmerica Advantra Plans | $597 |
| Geisinger | Geisinger Medicare | $597 |
| Highmark | Wholecare Medicare Assured/Gateway Medicare | $601 |
| Cigna | Cigna Healthspring | $603 |
| Health Partners | Health Partners Medicare | $609 |
| Highmark | Security Blue Medicare | $643 |
| Highmark | Blue Cross Blue Shield Shared Cost | $1,298 |
| Cigna | Cigna (individual/employer provided) | $1,331 |
| Cigna | Cigna Choice Fund plans | $1,331 |
| Cigna | Cigna Global Health Benefits plans | $1,331 |
| Cigna | Cigna LocalPlus | $1,331 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.