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.
Original text from hospital filings
ED LEVEL 5
Downers Grove, IL
See all hospitals reporting CPT 99285 →Price type
Advocate Good Samaritan Hospital’s median price of $2.3k is 151% above the median hospital's median price ($897), higher than 83% of the 2,561 hospitals reporting CPT 99285. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $926.71 | $926.71 | $926.71 – $926.71 |
| 2 | Molina medicare advantage case rate · outpatient | $926.71 | $926.71 | $926.71 – $926.71 |
| 3 | Oscar medicare advantage case rate · outpatient | $958.66 | $958.66 | $958.66 – $958.66 |
| 4 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $2,081 | $2,081 | $2,040 – $2,122 |
| 5 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2,201 | $2,201 | $2,201 – $2,201 |
| 6 | Blue Cross Blue Shield commercial fee schedule · outpatient | $2,219 | $2,219 | $2,132 – $2,305 |
| 7 | Blue Cross Blue Shield ppo fee schedule · outpatient | $2,426 | $2,426 | $2,426 – $2,426 |
| 8 | UnitedHealthcare commercial case rate · outpatient | $2,355 | $2,620 | $2,033 – $3,473 |
| 9 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $3,154 | $3,154 | $3,154 – $3,154 |
| 10 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $3,215 | $3,215 | $3,215 – $3,215 |
| 11 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $3,264 | $3,264 | $3,264 – $3,264 |
| 12 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $3,264 | $3,264 | $3,264 – $3,264 |
| 13 | UnitedHealthcare hmo case rate · outpatient | $4,020 | $4,020 | $4,020 – $4,020 |
Last updated: Nov 4, 2025
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