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
McDowell, KY
See all hospitals reporting CPT 99285 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $876 is 2% below the median hospital's median price ($897), higher than 49% 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 Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $639.88 | $656.10 | $314.33 – $843.20 |
| 2 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $639.88 | $656.10 | $314.33 – $843.20 |
| 3 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $639.88 | $656.10 | $314.33 – $843.20 |
| 4 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $639.88 | $656.10 | $314.33 – $843.20 |
| 5 | Humana medicare percent of total billed charges · outpatientfrom % of charges | $639.88 | $656.10 | $314.33 – $843.20 |
| 6 | Optum veterans affairs plan percent of total billed charges · outpatientfrom % of charges | $639.88 | $656.10 | $314.33 – $843.20 |
| 7 | WellCare medicare percent of total billed charges · outpatientfrom % of charges | $639.88 | $656.10 | $314.33 – $843.20 |
| 8 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $652.68 | $669.22 | $320.62 – $860.06 |
| 9 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $677.52 | $694.69 | $332.82 – $892.80 |
| 10 | Aetna medicare percent of total billed charges · outpatientfrom % of charges | $978.64 | $1,003 | $480.74 – $1,290 |
| 11 | UnitedHealthcare medicare percent of total billed charges · outpatientfrom % of charges | $1,393 | $1,428 | $684.13 – $1,835 |
| 12 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $2,800 | $2,871 | $1,376 – $3,690 |
| 13 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $3,291 | $3,290 | $1,536 – $4,337 |
| 14 | Aetna commercial percent of total billed charges · bothfrom % of charges | $3,312 | $3,396 | $1,627 – $4,365 |
Last updated: Jan 1, 2026
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