Emergency visit, highest (level 5) at HSHS St. Mary's Hospital Medical Center. CPT 99285.

What HSHS St. Mary's Hospital Medical Center publishes for this service, straight from its standard-charges file, last updated March 24, 2026.

Outpatient / ER

$1,724cash price (self-pay)

$2,612list price

$582–$2,612range insurers pay

Insurance plan	Negotiated rate
Aetna \| Aetna Medicare	$582
Anthem \| Anthem Medicare Advantage HMO	$582
Humana \| Humana Medicare Advantage	$582
Medicare Managed \| Managed Medicare No Sequestration	$582
Molina Healthcare \| Molina Medicare	$582
United Healthcare \| United Health Care Medicare	$582
Security Health Plan \| Medicare Advantage Security Health Plan Of Wi	$587
Hshs Employees \| Hshs Employees	$1,269
Molina Healthcare Of Wi \| All Commerical Molina Marketplace	$1,306
Naphcare \| All Commerical Naphcare	$1,308
Security Health Plan \| All Commercial Security Health Plan Broad Netwo	$1,667
Cigna \| All Commercial Cigna	$1,828
Health Eos \| All Commercial Health Eos	$1,855
Triology \| All Commercial Triology	$1,881
Healthsmart \| All Commercial Healthsmart	$1,907
Interplan \| All Commercial Interplan Health Group	$1,907
Network Health Plan \| All Commerical Network Health Plan	$1,959
Health Care Alliance \| The Alliance	$2,194
Multiplan/Phcs \| All Commercial Multiplan	$2,194
Choicecare \| All Commercial Choice Care	$2,220
Humana \| All Commercial Humana Hpn Choicecare	$2,220
Humana \| Humana Choice Care PPO	$2,220
North Central Healthcare Alliance \| Neha	$2,403
First Health \| All Commercial First Health Network	$2,481
Aetna \| Aetna Hshs	$2,612
Aetna \| All Commercial Aetna	$2,612
Anthem \| Anthem POS/HMO	$2,612
Anthem \| Anthem PPO	$2,612
Caterpillar, Inc. \| UHC Caterpillar Employer Group	$2,612
Cenpatico \| All Medicaid Cenpatico	$2,612

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