Emergency visit, highest (level 5) at Aspirus Divine Savior Hospital. CPT 99285.
What Aspirus Divine Savior Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$617cash price (self-pay)
$5,444list price
$79.42–$4,338range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Wisconsin Medicaid Pl | $79.42 |
| Quartz Health Solutions, Inc. | Quartz Wisconsin Medicaid Plans | $79.42 |
| Dean Health Plan | Dean Health Plan Wisconsin Medicaid Plans | $81.01 |
| Group Health Cooperative Of Eau Claire | Group Health Wisconsin Medica | $81.01 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Medicare Advantage | $135 |
| Managed Health Services Insurance Corp. | Managed Health Wisconsin Med | $139 |
| Quartz Health Solutions, Inc. | Quartz Medicare Advantage Plans | $139 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Plus Hmo | $142 |
| Humana | Humana Medicare Ppo/Pos/Hmo Network Plans | $143 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Dual Hmo Snp | $145 |
| Dean Health Plan | Dean Health Plan Medicare Advantage | $154 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Medicare Advantage Pl | $158 |
| Tricare West | Tricare Plans | $158 |
| Security Health Plan Of Wisconsin, Inc. | Security Health Plan Wiscons | $160 |
| Dean Health Plan | Dean Health Plan Commercial Hmo | $336 |
| Dean Health Plan | Dean Health Plan Commercial Pos | $336 |
| Dean Health Plan | Dean Health Plan Commercial Ppo | $336 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Mediblue Access Ppo | $373 |
| The Alliance (F/K/A Employer Health Care Alliance Cooperative) | The A | $390 |
| Multiplan, Inc | Aetna Health Plan Ppo Networks | $436 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Hmo | $493 |
| Quartz Health Solutions, Inc. | Quartz Fully Insured And Self Insured | $494 |
| Aspirus Health Plan, Inc. | Aspirus Health Plan Hmo/Pos | $498 |
| Multiplan, Inc | Health Eos Ppos Network Plans | $549 |
| Group Health Cooperative Of South Central Wisconsin | Group Health Coo | $566 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Preferred Pos | $580 |
| Anthem Blue Cross Blue Shield Wisconsin | Anthem Blue Traditional Netw | $609 |
| Group Health Cooperative Of Eau Claire | Group Health Cooperative Comm | $616 |
| Aetna | Medicare Advantage Esa | $652 |
| First Health Group Corp | First Health National Rental Ppo Network | $685 |
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