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Emergency visit, highest (level 5) at Lewisgale Hospital-montgomery. CPT 99285.

What Lewisgale Hospital-montgomery publishes for this service, straight from its standard-charges file, last updated September 1, 2026.

Outpatient / ER

$5,204cash price (self-pay)
$5,204list price
$1,821–$6,595range insurers pay
Insurance planNegotiated rate
Virginia Health Network | ULTRA$1,821
United | OptionsPPO$2,014
Cigna | NPR$2,029
United | GlobalBenefitPlan$2,342
Greenvbrier Sporting Club | COMM$3,122
Aetna | SharedSavings$3,222
Anthem | HIX$3,299
Multiplan | PHCS$3,487
Anthem | HMO$3,664
Anthem | PPO$3,664
Virginia Health Network | COMM$3,695
Virginia Health Network | WC$3,695
CorVel | WorkersComp$3,747
United | AllPayerAppendix$3,797
Richfield Nursing Center | COMM$3,903
Richfield Retirement Community | COMM$3,903
Community Care Network | COMM$4,163
Graham-White Manufacturing | COMM$4,163
OccuNet Workers Comp | WorkersComp$4,163
One Health Plan | POS$4,163
One Health Plan | PPO$4,163
Cigna | HMO$4,303
Cigna | PPO$4,303
Phcs | Comm$4,423
Patients Choice | COMM$4,580
4Most | COMM$4,684
American Postal Workers Union | COMM$4,684
Star Transportation | COMM$4,684
Aetna | Broad$5,000
Sentara Optima Health | HMO$6,595
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All common services at Lewisgale Hospital-montgomery