Emergency visit, highest (level 5) at Dell Seton Medical Center at The University of Texas (Ascension Seton). CPT 99285.
What Dell Seton Medical Center at The University of Texas (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$2,007cash price (self-pay)
$5,575list price
$200–$5,800range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Star | 3509_chirp Superior Star (Chi,Dcn) Inpatient 20240901 | $200 |
| Superior Star | 3510_chirp Superior Star (Del) Inpatient 20240901 | $200 |
| Superior Star Plus | 4375_chirp Superior Star Plus (Chi,Dcn) Inpatient | $200 |
| Superior Star Plus | 4376_chirp Superior Star Plus (Del) Inpatient 202 | $200 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $435 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $435 |
| Tricare | 1229_tricare Cah Outpatient 20170101 | $470 |
| BCBS Chip/Chip Perinate | 3595_blue Cross Chip/Star Kids (Del) Inpatie | $562 |
| BCBS Chip/Chip Perinate | 4169_blue Cross Chip (Del) Outpatient 202412 | $562 |
| BCBS Chip/Chip Perinate | 4169_blue Cross Chip/Star Kids (Del) Outpati | $562 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $806 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $806 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $806 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $806 |
| Whole Foods | 4512_whole Foods 20251001 | $1,368 |
| Oscar Health Exchange | 4511_oscar Health Plan 20251001 | $1,662 |
| Humana HMO | 2668_humana HMO 20230701 | $1,668 |
| Humana Mcr Replacement | 4111_medicare Advantage Humana Outpatient (Br | $2,060 |
| Humana Mcr Replacement | 4661_medicare Advantage Humana Inpatient (Aus | $2,060 |
| Humana Mcr Replacement | 4662_medicare Advantage Humana Inpatient (Brk | $2,060 |
| Humana Mcr Replacement | 4921_medicare Advantage Humana Outpatient (Au | $2,060 |
| BCBS PPO | 4094_blue Cross Blue Shield PPO 20250101 | $2,094 |
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $2,286 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $2,286 |
| Cigna HMO | 4475_cigna HMO (Aus,Nw,Sw,Hay) 20250701 | $2,509 |
| Aetna Choice | 236_aetna Elect Choice 20140601 | $2,648 |
| Aetna POS 20140601 | 235_aetna POS 20140601 | $2,648 |
| Aetna Aco HMO | 4489_aetna Aco HMO 20250801 | $2,693 |
| Aetna Sha Aisd | 4335_aetna Sha Aisd 20250101 | $2,733 |
| UHC | 4498_united Healthcare (Aus,Nw,Sw, Bas) 20250701 | $2,845 |
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All common services at Dell Seton Medical Center at The University of Texas (Ascension Seton)