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Emergency visit, highest (level 5) at Pelham Medical Center. CPT 99285.

What Pelham Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.

Outpatient / ER

$2,181cash price (self-pay)
$3,635list price
$568–$2,564range insurers pay
Insurance planNegotiated rate
Humana | Medicare Managed Care Plan$568
Bcbs | Medicare Managed Care Plan$572
Devoted Health Plan | Medicare Managed Care Plan$585
Aetna | Medicare Managed Care Plan$591
Absolute Total Care | Medicare Managed Care Plan$596
Cigna | Healthspring Medicare Managed Care Plan$608
Bcbs | State Health Plan Other Commercial Plan$1,043
Bcbs | Blue Preferred Exchange$1,936
Bcbs | Bluechoice Exchange$1,936
Bcbs | Blue Preferred Ppo$2,564
Bcbs | Bluechoice Hmo$2,564
Bcbs | Innovations Other Commercial Plan$2,564
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All common services at Pelham Medical Center