Emergency visit, highest (level 5) at WTH Bolivar Hospital. CPT 99285.
What WTH Bolivar Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.
Outpatient / ER
$1,537cash price (self-pay)
$5,122list price
$739–$3,534range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| River Valley Plan | TennCare | $739 |
| Celtic Insurance Company | Commercial-Exchange | $943 |
| Veterans Affairs | Community Care Network | $1,229 |
| Blue Cross Blue Shield of Tennessee | BlueCare | $1,266 |
| Blue Cross Blue Shield of Tennessee | BlueChoice HMO | $1,266 |
| Cigna-HealthSpring | Medicare Advantage | $1,275 |
| Oscar | HMO/Medicare Advantage/PPO/EPO/POS | $1,462 |
| Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employe | $2,134 |
| Blue Cross Blue Shield of Tennessee | Network S/E | $2,198 |
| United Healthcare | All Payer | $2,307 |
| Blue Cross Blue Shield of Tennessee | Network P | $2,388 |
| Aetna | Commercial | $3,534 |
Inpatient
$1,537cash price (self-pay)
$5,122list price
$3,534–$3,534range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Commercial | $3,534 |
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