Emergency visit, highest (level 5) at Holy Cross Hospital - Davis. CPT 99285.
What Holy Cross Hospital - Davis publishes for this service, straight from its standard-charges file, last updated February 11, 2026.
Outpatient / ER
$1,024cash price (self-pay)
$2,560list price
$141–$2,560range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Managed Medicaid | Managed Medicaid | $141 |
| UUHP | Managed Medicaid | $141 |
| Humana | Managed Medicare | $163 |
| Managed Medicare | Managed Medicare | $163 |
| Medicare | Medicare | $163 |
| PEHP | Commercial Summit Exclusive | $164 |
| Employer Direct Healthcare | Commercial PPO/POS/HMO | $204 |
| MotivHealth | Commercial PPO/POS/HMO | $216 |
| Select Health | Commercial PPO/POS/HMO | $260 |
| Molina | Commercial PPO/POS/HMO | $344 |
| Centura Employee Plan | Commercial PPO/POS/HMO/EPO | $512 |
| Regence Blue Cross Blue Shield | Commercial PAR | $612 |
| Regence Blue Cross Blue Shield | Commercial PPO | $612 |
| Regence Blue Cross Blue Shield | Commercial Savewell | $612 |
| Regence Blue Cross Blue Shield | Commercial UVU | $612 |
| PEHP | Commercial Capital Network | $1,093 |
| Aetna | Commercial Peak Performance | $1,131 |
| UUHP | Commercial Health Plus | $1,262 |
| UUHP | Commercial Healthy Preferred | $1,262 |
| PEHP | Commercial Summit | $1,303 |
| Wise | Commercial PPO | $1,331 |
| Aetna | Commercial Standard Network | $1,349 |
| UUHP | Commercial Healthy Premier | $1,387 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $1,421 |
| PEHP | Commercial Advantage | $1,485 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $1,572 |
| Multiplan | Commercial Primary | $1,766 |
| United Healthcare | Commercial PPO/POS/HMO | $1,856 |
| Aetna | Commercial Signature | $1,860 |
| Aetna | Commercial Extended Network | $1,920 |
Inpatient
$1,024cash price (self-pay)
$2,560list price
$952–$2,560range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Regence Blue Cross Blue Shield | Commercial Savewell | $952 |
| PEHP | Commercial Capital Network | $1,093 |
| Molina | Commercial PPO/POS/HMO | $1,099 |
| Aetna | Commercial Peak Performance | $1,131 |
| Regence Blue Cross Blue Shield | Commercial UVU | $1,173 |
| PEHP | Commercial Summit Exclusive | $1,211 |
| Select Health | Commercial PPO/POS/HMO | $1,258 |
| PEHP | Commercial Summit | $1,303 |
| Aetna | Commercial Standard Network | $1,349 |
| Wise | Commercial PPO | $1,357 |
| Regence Blue Cross Blue Shield | Commercial PPO | $1,380 |
| PEHP | Commercial Advantage | $1,485 |
| Regence Blue Cross Blue Shield | Commercial Blue Option | $1,536 |
| Regence Blue Cross Blue Shield | Commercial PAR | $1,536 |
| Deseret Mutual Benefit Administrators | Commercial PPO/POS/HMO | $1,572 |
| Multiplan | Commercial Primary | $1,766 |
| Aetna | Commercial Signature | $1,860 |
| Aetna | Commercial Extended Network | $1,920 |
| Aetna | Commercial Indemnity | $2,048 |
| Aetna Rental Networks | Commercial PPO/POS/HMO | $2,163 |
| EMI Health | Commercial PPO/POS/HMO | $2,227 |
| Multiplan | Commercial Complementary | $2,329 |
| United Healthcare | Commercial Behavioral Health | $2,560 |
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