Emergency visit, highest (level 5) at Intermountain Health Intermountain Medical Center. CPT 99285.
What Intermountain Health Intermountain Medical Center publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$4,138cash price (self-pay)
$5,518list price
$173–$5,757range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $588 |
| SelectHealth | Medicaid | $588 |
| Aetna | Medicare Adv HMO | $588 |
| Healthy U | Medicaid | $588 |
| Molina | Medicaid | $588 |
| TriWest | Veterans Choice | $588 |
| American Health | Medicare Adv UT HMO I-SNP | $603 |
| Health Partners of Nevada | Medicare Advantage | $603 |
| Humana | Medicare Choice PPO | $603 |
| Molina | Medicare Advantage | $603 |
| Molina | Medicare Choice Care HMO | $603 |
| Molina | Medicare Complete Care HMO SNP | $603 |
| Regence BCBS | MedAdvantage PPO | $603 |
| SelectHealth | Medicare Advantage | $603 |
| UHC | Medicare Advantage | $603 |
| SelectHealth | Signature Individual ACA | $624 |
| SelectHealth | Value Individual ACA | $624 |
| Aetna | Medicare Adv PPO | $647 |
| SelectHealth | Med Individual ACA | $682 |
| Donor Connect | Other | $1,291 |
| Deseret Mutual | All Other | $3,173 |
| Deseret Mutual | Select | $3,173 |
| AWH Connected | Connected Utah | $3,559 |
| Intermountain Caregiver Plan | Share Network | $3,697 |
| SelectHealth | SelectShare | $3,697 |
| SelectHealth | SelectValue | $3,697 |
| SelectHealth | FEHBP | $3,919 |
| AG Administrators | USU Athletics | $3,973 |
| BYU Athletics | Commercial | $3,973 |
| BYU Risk Management | Workers Comp | $3,973 |
Inpatient
$4,138cash price (self-pay)
$5,518list price
$66.21–$4,966range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $66.21 |
| Health Plan of Nevada | Medicaid | $1,655 |
| Intermountain Caregiver Plan | Med Network | $2,339 |
| Intermountain Caregiver Plan | Share Network | $2,339 |
| EMI | Commercial | $2,979 |
| Deseret Mutual | All Other | $3,173 |
| Deseret Mutual | Select | $3,173 |
| Regence BCBS | BlueOption | $3,407 |
| Regence BCBS | Cardiac Care | $3,407 |
| AWH Connected | Connected Utah | $3,504 |
| EMI Health | Mint | $3,829 |
| EMI Health | Network Care | $3,829 |
| PEHP | Advantage State | $3,840 |
| Corporation of the President | Workers Comp | $3,862 |
| Regence BCBS | High Performance | $3,862 |
| Regence BCBS | FEHBP | $3,890 |
| PEHP | Advantage Non-State | $3,917 |
| AG Administrators | USU Athletics | $3,973 |
| BYU Athletics | Commercial | $3,973 |
| BYU Risk Management | Workers Comp | $3,973 |
| Campbell Scientific | Commercial | $3,973 |
| CorVel Corporation | Workers Comp | $3,973 |
| Franklin County | Commercial | $3,973 |
| Juniper Systems | Commercial | $3,973 |
| LW Miller | Commercial | $3,973 |
| Injury Care of Nevada | Workers Comp | $4,138 |
| Regence BCBS | Traditional | $4,193 |
| Managed Care Admin | Commercial | $4,304 |
| Aetna | Connected | $4,414 |
| Molina | CHIP | $4,524 |
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All common services at Intermountain Health Intermountain Medical Center