Emergency visit, highest (level 5) at Grace Surgical Hospital. CPT 99285.
What Grace Surgical Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,740cash price (self-pay)
$4,143list price
$580–$2,629range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcbs | Vapc3 Government | $580 |
| Aetna | Medicare Managed Care Plan | $598 |
| Superior | Wellcare Medicare Managed Care Plan | $628 |
| Unitedhealthcare | Medicare Managed Care Plan | $631 |
| Baylor Scott And White | Individual Bsw Premier Exchange | $788 |
| Aetna | Preferred Other Commercial Plan | $818 |
| Baylor Scott And White | Group Bsw Premier/Covenant Preferred All Comm | $954 |
| Baylor Scott And White | Group Bsw Plus All Commercial Plans | $1,328 |
| Bcbs | Hmo | $1,720 |
| Bcbs | Par Traditional | $2,003 |
| Bcbs | Ers Hmo | $2,477 |
| Bcbs | Ppo | $2,629 |
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