Emergency visit, highest (level 5) at Suburban Behavioral Health Campus of Roxborough Memorial Hospital. CPT 99285.
What Suburban Behavioral Health Campus of Roxborough Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$608cash price (self-pay)
$3,044list price
$139–$2,953range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Traditional Medicaid | Traditional Medicaid | $139 |
| UHC | UHC Medicaid | $157 |
| Health Partners Plan | Health Partners Plan Medicaid | $334 |
| PA Health & Wellness | PA Health & Wellness Medicaid | $380 |
| Keystone | Keystone First Medicaid | $387 |
| Humana Military Tricare | Humana Military Tricare | $487 |
| Health Partners Plan | Health Partners Plan Medicare | $609 |
| Independence Blue Cross | IBC Medicare | $609 |
| PA Health & Wellness | PA Health & Wellness Medicare & Duals | $609 |
| Traditional Medicare | Traditional Medicare | $609 |
| Tricare | Tricare | $609 |
| UHC | UHC Medicare | $609 |
| UHC | UHC Va Ccn | $609 |
| Providers Partner Health Plan | Provider Partners Health Plan | $627 |
| Keystone | Keystone First Medicare | $633 |
| Ally-Align Medicare | Ally-Align Medicare | $639 |
| Spartan | Spartan Plan | $639 |
| Independence Blue Cross | IBC PPACA | $666 |
| Auto Insurance | Auto Insurance | $670 |
| Worker Compensation | Worker Compensation | $688 |
| PA Health & Wellness | PA Health & Wellness Commercial Insurance Excha | $731 |
| Employer Direct Healthcare | Employer Direct Healthcare | $852 |
| Independence Blue Cross | IBC Commercial HMO PPO | $886 |
| Independence Blue Cross | IBC Indemnity | $886 |
| Health Partners Plan | Health Partners Plan Exchange | $913 |
| Naphcare | Naphcare | $944 |
| UHC | UHC Exchange | $958 |
| UHC | UHC Commercial All Payer | $1,273 |
| Highmark | Highmark Commercial (02-01-2024 to 12-31-2026) | $1,327 |
| Cigna | Cigna Commercial (05-01-2023 to 12-31-2026) | $1,440 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Suburban Behavioral Health Campus of Roxborough Memorial Hospital