Emergency visit, highest (level 5) at Gundersen Boscobel Area Hospital and Clinic. CPT 99285.
What Gundersen Boscobel Area Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$947cash price (self-pay)
$1,838list price
$777–$4,286range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Products | $777 |
| Quartz | All Other Self Funded | $809 |
| Quartz | Self Funded | $864 |
| Quartz | Level Funded | $891 |
| Anthem | Medicare HMO/PPO | $901 |
| Dean Health Plan | Medicare Select | $901 |
| Health Partners | Medicare Advantage | $901 |
| Humana | Medicare Advantage | $901 |
| Medical Associates | Medicare Advantage | $901 |
| Quartz | Medicare Advantage | $901 |
| Health Partners | Medicaid HMO | $919 |
| UCARE | Dually Eligible | $919 |
| UCARE | MSHO/Minnesota Special Needs | $919 |
| UCARE | Non-Dually Eligible | $919 |
| Quartz | Fully Insured | $1,002 |
| Health Partners | Medicare Cost | $1,103 |
| WPS | All Products | $1,110 |
| Dean Health Plan | All Products | $1,396 |
| Medical Associates | All Products | $1,397 |
| UHC | All Payer Appendix | $1,406 |
| Cigna | All Products | $1,417 |
| Alliance | Comprehensive/All Products | $1,470 |
| Alliance | Premier/All Products | $1,470 |
| Group Health of South Central | All Products | $1,470 |
| Medical Associates | CAH Specific | $1,470 |
| Trilogy | All Products | $1,470 |
| UCARE | Qualified Health Plan | $1,470 |
| Aspirus Arise Health | All Products | $1,526 |
| Sana | All Products | $1,581 |
| Multiplan/Healtheos | Mpi_phcs_healtheos | $1,617 |
Inpatient
$947cash price (self-pay)
$1,838list price
$777–$1,764range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $1,083 |
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All common services at Gundersen Boscobel Area Hospital and Clinic