Emergency visit, highest (level 5) at HSHS St. Nicholas Hospital. CPT 99285.
What HSHS St. Nicholas Hospital 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 |
| Medica | Medica 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 | $588 |
| Hshs Employees | Hshs Employees | $1,269 |
| Molina Healthcare Of Wi | All Commerical Molina Marketplace | $1,306 |
| Naphcare | All Commerical Naphcare | $1,310 |
| Arise Health Plan | All Commercial Arise Health Plan | $1,567 |
| Security Health Plan | All Commercial Security Health Plan Broad Netwo | $1,667 |
| Cigna | All Commercial Cigna | $1,828 |
| Interplan | All Commercial Interplan Health Group | $1,828 |
| Health Eos | All Commercial Health Eos | $1,959 |
| Healthsmart | All Commercial Healthsmart | $1,959 |
| Network Health Plan | All Commerical Network Health Plan | $1,959 |
| Triology | All Commercial Triology | $2,063 |
| Health Care Alliance | The Alliance | $2,194 |
| Multiplan/Phcs | All Commercial Multiplan | $2,194 |
| Choicecare | All Commercial Choice Care | $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 | All Commercial Aetna | $2,612 |
| Anthem | Anthem POS/HMO | $2,612 |
| Anthem | Anthem PPO | $2,612 |
| Caterpillar, Inc. | UHC Caterpillar Employer Group | $2,612 |
| Cofinity | Cofinity | $2,612 |
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