Emergency visit, highest (level 5) at St. Luke's Health - Springwoods Village Hospital. CPT 99285.
What St. Luke's Health - Springwoods Village Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,760cash price (self-pay)
$5,029list price
$442–$7,146range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Renaissance | Commercial|All Plans | $442 |
| Montgomery Hospital District | Commercial|All Plans | $503 |
| CHC | Medicaid|All Other Plans | $503 |
| BCBS | Medicaid|All Plans | $528 |
| BCBS-TX | Commercial|MyBlue Health Exchange | $737 |
| KelseyCare | Commercial|Exchange | $829 |
| BCBS-TX | Commercial|Exchange | $853 |
| Bright Health | Commercial|All Plans | $873 |
| Cigna | Commercial|All Other Plans | $921 |
| Community Health Choice | Commercial|Exchange | $921 |
| Superior Health Plan | Commercial|All Plans | $921 |
| BCBS-TX | Commercial|Blue Premier | $1,070 |
| KelseyCare | Commercial|All Other Plans | $1,240 |
| BCBS-TX | Commercial|HMO | $1,413 |
| BCBS-TX | Commercial|PPO | $1,604 |
| United | Commercial|Exchange | $1,725 |
| NXHealth | Commercial|All Plans | $1,996 |
| Cigna | Commercial|Surefit | $2,116 |
| Cigna | Commercial|HMO | $2,332 |
| United | Commercial|Optum | $2,364 |
| CHC | Medicaid|CHIP | $2,766 |
| CHC | Medicaid|HMO | $2,766 |
| United | Commercial|HMO | $2,829 |
| United | Commercial|PPO | $2,829 |
| Cigna Lifesource | Commercial|Transplant | $3,017 |
| Humana | Commercial|HMO | $3,060 |
| Humana | Commercial|PPO | $3,060 |
| Coventry | Commercial|PPO | $3,269 |
| First Health | Commercial|All Plans | $3,269 |
| Aetna | Commercial|PPO | $3,420 |
Inpatient
$1,760cash price (self-pay)
$5,029list price
$2,162–$5,029range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TCHPCHIP | Medicaid|HMO | $2,162 |
| CHC | Medicaid|CHIP | $2,766 |
| CHC | Medicaid|HMO | $2,766 |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,766 |
| Coventry | Commercial|PPO | $3,269 |
| First Health | Commercial|All Plans | $3,269 |
| Cigna | Commercial|Transplant | $3,520 |
| Healthsmart | Commercial|PPO | $3,520 |
| Interlink | Commercial|Transplant | $3,520 |
| MultiPlan | Commercial|All Plans | $3,772 |
| USA Health Network | Commercial|All Plans | $4,275 |
| MHealth Network | Commercial|PPO | $5,029 |
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All common services at St. Luke's Health - Springwoods Village Hospital