Emergency visit, highest (level 5) at Gundersen Moundview Hospital and Clinics. CPT 99285.
What Gundersen Moundview Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$1,037cash price (self-pay)
$2,042list price
$796–$4,286range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | All Payer Appendix | $796 |
| Quartz | All Products | $864 |
| Quartz | All Other Self Funded | $898 |
| Security Health Plan | Medicare Advantage | $939 |
| Anthem | Medicare HMO/PPO | $939 |
| Health Partners | Medicare Advantage | $939 |
| Quartz | Medicare Advantage | $939 |
| Security Health Plan | Medicare + Choice | $939 |
| UCARE | Dually Eligible | $939 |
| Quartz | Self Funded | $960 |
| UCARE | MSHO/Minnesota Special Needs | $980 |
| UCARE | Non-Dually Eligible | $980 |
| Quartz | Level Funded | $990 |
| Health Partners | Medicaid HMO | $1,021 |
| Quartz | Fully Insured | $1,113 |
| Health Partners | Medicare Cost | $1,225 |
| WPS | All Products | $1,574 |
| WPS - ARISE | All Products | $1,574 |
| Cigna | All Products | $1,574 |
| Dean Health Plan | ASO | $1,604 |
| Alliance | Premier/All Products | $1,634 |
| Alliance | Comprehensive/All Products | $1,634 |
| Group Health of South Central | All Products | $1,634 |
| Trilogy | All Products | $1,634 |
| UCARE | Qualified Health Plan | $1,634 |
| Aspirus Arise Health | All Products | $1,695 |
| Sana | All Products | $1,756 |
| Multiplan/Healtheos | Mpi_phcs_healtheos | $1,797 |
| Health Partners | All Products | $1,803 |
| Group Health Eau Claire | All Products | $1,838 |
Inpatient
$1,037cash price (self-pay)
$2,042list price
$864–$1,981range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $1,203 |
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All common services at Gundersen Moundview Hospital and Clinics