Emergency department visit

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB ED Visit Level 5

Payers reporting CPT 99285

71 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +38 other terms	569	$646.78	$1,745	$1.00 – $37,416
2	UnitedHealthcare case rate · outpatient · +39 other terms	562	$3,068	$3,647	$140.00 – $25,609
3	Blue Cross Blue Shield fee schedule · outpatient · +39 other terms	417	$792.21	$1,668	$1.00 – $45,137
4	Humana fee schedule · outpatient · +38 other terms	376	$609.98	$701.88	$1.10 – $8,334
5	Cigna case rate · outpatient · +37 other terms	287	$3,599	$5,303	$0.62 – $38,458
6	Molina fee schedule · outpatient · +34 other terms	197	$614.09	$684.31	$1.05 – $4,164
7	WellCare fee schedule · outpatient · +30 other terms	189	$614.14	$612.55	$116.04 – $1,437
8	Oscar case rate · outpatient · +25 other terms	151	$2,906	$3,027	$958.66 – $5,248
9	Anthem fee schedule · outpatient · +35 other terms	150	$602.64	$642.33	$14.50 – $31,636
10	MultiPlan fee schedule · outpatient · +24 other terms	140	$2,802	$9,572	$126.15 – $58,203
11	Devoted facility · fee schedule · outpatient · +21 other terms	114	$577.77	$581.47	$74.07 – $4,930
12	Kaiser fee schedule · outpatient · +29 other terms	110	$1,008	$1,932	$8.65 – $29,403
13	Ambetter facility · fee schedule · outpatient · +24 other terms	97	$1,015	$1,001	$154.35 – $7,148
14	Tricare facility · fee schedule · outpatient · +23 other terms	92	$593.65	$739.31	$68.31 – $6,168
15	Highmark facility · fee schedule · outpatient · +26 other terms	87	$628.66	$789.42	$0.71 – $2,776
16	Optum fee schedule · outpatient · +29 other terms	67	$562.92	$816.93	$144.32 – $4,155
17	Medicaid facility · fee schedule · outpatient · +20 other terms	61	$522.66	$506.46	$9.45 – $1,473
18	Caresource fee schedule · outpatient · +27 other terms	56	$585.78	$445.51	$1.08 – $1,806
19	Medica fee schedule · both · +27 other terms	56	$360.63	$402.47	$127.21 – $665.43
20	Regence professional · fee schedule · outpatient · +25 other terms	56	$241.38	$259.94	$156.63 – $546.79
21	Medicare facility · fee schedule · outpatient · +22 other terms	54	$613.75	$981.49	$163.11 – $22,000
22	Healthcare Highways case rate · outpatient · +5 other terms	52	$4,258	$3,703	$2,356 – $4,871
23	First Health fee schedule · outpatient · +24 other terms	50	$2,187	$3,838	$166.18 – $33,497
24	Healthpartners fee schedule · both · +18 other terms	48	$299.94	$391.41	$160.08 – $875.93
25	Ucare professional · fee schedule · outpatient · +22 other terms	45	$152.44	$157.83	$67.19 – $281.21

Page 1 of 3 · 71 payers