Emergency visit, highest (level 5) at HSHS St. Clare Memorial Hospital. CPT 99285.
What HSHS St. Clare Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$788cash price (self-pay)
$1,903list price
$287–$2,612range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Aetna Medicare | $457 |
| Anthem | Anthem Medicare Advantage HMO | $457 |
| Humana | Humana Medicare Advantage | $457 |
| Molina Healthcare | Molina Medicare | $457 |
| United Healthcare | United Health Care Medicare | $457 |
| Security Health Plan | Medicare Advantage Security Health Plan Of Wi | $461 |
| Unity Health Plan | Unity Hospice | $608 |
| Hshs Employees | Hshs Employees | $925 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $952 |
| Naphcare | All Commerical Naphcare | $1,028 |
| Cigna | All Commercial Cigna | $1,189 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $1,215 |
| Triology | All Commercial Triology | $1,503 |
| Arise Health Plan | All Commercial Arise Health Plan | $1,522 |
| Health Care Alliance | The Alliance | $1,599 |
| Choicecare | All Commercial Choice Care | $1,618 |
| Humana | All Commercial Humana Hpn Choicecare | $1,618 |
| Humana | Humana Choice Care PPO | $1,618 |
| Humana | Humana Natiional POS HMO | $1,618 |
| Health Eos | All Commercial Health Eos | $1,694 |
| Multiplan/Phcs | All Commercial Multiplan | $1,694 |
| Cofinity | Cofinity | $1,713 |
| Interplan | All Commercial Interplan Health Group | $1,713 |
| Network Health Plan | All Commerical Network Health Plan | $1,713 |
| North Central Healthcare Alliance | Neha | $1,751 |
| First Health | All Commercial First Health Network | $1,808 |
| Wea Provider Network | Wea Insurance Corporation | $1,808 |
| Aetna | All Commercial Aetna | $1,903 |
| Anthem | Anthem POS/HMO | $1,903 |
| Anthem | Anthem PPO | $1,903 |
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