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
PR EMERGENCY DEPARTMENT VISIT HIGH MDM
Malone, NY
See all hospitals reporting CPT 99285 →Price type
Alice Hyde Medical Center’s median price of $294 is 67% below the median hospital's median price ($897), higher than 7% 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: 5 payers, 20 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 | Humana tricare professional · fee schedule · both | $139.25 | $139.25 | $139.25 – $139.25 |
| 2 | Excellus managed medicaid/essential plans professional · fee schedule · both | $139.69 | $139.69 | $139.69 – $139.69 |
| 3 | Aetna medicare advantage professional · fee schedule · both | $166.32 | $166.32 | $166.32 – $166.32 |
| 4 | Excellus medicare advantage professional · fee schedule · both | $166.32 | $166.32 | $166.32 – $166.32 |
| 5 | Excellus commercial professional · fee schedule · both | $210.03 | $210.03 | $210.03 – $210.03 |
| 6 | Aetna commercial professional · fee schedule · both | $257.84 | $257.84 | $257.84 – $257.84 |
| 7 | UnitedHealthcare managed medicaid/essential plans professional · percent of total billed charges · bothfrom % of charges | $270.55 | $270.55 | $270.55 – $270.55 |
| 8 | UnitedHealthcare medicare advantage professional · percent of total billed charges · bothfrom % of charges | $270.55 | $270.55 | $270.55 – $270.55 |
| 9 | UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both | $294.15 | $294.15 | $270.30 – $318.00 |
| 10 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $318.82 | $318.82 | $318.82 – $318.82 |
| 11 | UnitedHealthcare commercial professional · fee schedule · both | $397.13 | $397.13 | $397.13 – $397.13 |
| 12 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $412.50 | $412.50 | $412.50 – $412.50 |
| 13 | Excellus medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $412.50 | $412.50 | $412.50 – $412.50 |
| 14 | Humana tricare facility · percent of total billed charges · outpatientfrom % of charges | $412.50 | $412.50 | $412.50 – $412.50 |
| 15 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $412.50 | $412.50 | $412.50 – $412.50 |
| 16 | Highmark ind/fep/ppo/hmo professional · percent of total billed charges · bothfrom % of charges | $757.54 | $757.54 | $757.54 – $757.54 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,086 | $1,086 | $1,086 – $1,086 |
| 18 | Highmark ind/fep/ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,120 | $1,120 | $1,120 – $1,120 |
| 19 | Excellus commercial facility · fee schedule · outpatient | $2,057 | $2,057 | $2,057 – $2,057 |
| 20 | UnitedHealthcare commercial facility · case rate · outpatient | $2,545 | $2,545 | $2,545 – $2,545 |
Last updated: Sep 8, 2026
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