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
ER VISIT LEVEL 5 W/PROC
Hazard, KY
See all hospitals reporting CPT 99285 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $955 is 6% above the median hospital's median price ($897), higher than 53% 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, 14 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 | Aetna medicare other · outpatient | $498.26 | $498.26 | $498.26 – $498.26 |
| 2 | Anthem medicare advantage other · outpatient | $498.26 | $498.26 | $498.26 – $498.26 |
| 3 | Humana medicare other · outpatient | $498.26 | $498.26 | $498.26 – $498.26 |
| 4 | Optum veterans affairs plan other · outpatient | $498.26 | $498.26 | $498.26 – $498.26 |
| 5 | UnitedHealthcare medicare other · outpatient | $498.26 | $498.26 | $498.26 – $498.26 |
| 6 | WellCare medicare other · outpatient | $498.26 | $498.26 | $498.26 – $498.26 |
| 7 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $744.66 | $763.52 | $365.94 – $981.18 |
| 8 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $928.34 | $951.86 | $456.21 – $1,223 |
| 9 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $928.34 | $951.86 | $456.21 – $1,223 |
| 10 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $928.34 | $951.86 | $456.21 – $1,223 |
| 11 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $928.34 | $951.86 | $456.21 – $1,223 |
| 12 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $3,061 | $3,139 | $1,504 – $4,034 |
| 13 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $3,617 | $3,616 | $1,689 – $4,766 |
| 14 | Aetna commercial percent of total billed charges · bothfrom % of charges | $3,723 | $3,818 | $1,830 – $4,906 |
Last updated: Jan 1, 2026
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