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
EMERGENCY DEPT VISIT HI MDM
Austin, TX
See all hospitals reporting CPT 99285 →Price type
Ascension Seton’s median price of $806 is 10% below the median hospital's median price ($897), higher than 45% 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: 9 payers, 60 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 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 case rate · both | $200.00 | $200.00 | $200.00 – $200.00 |
| 2 | Superior Healthplan 3510_chirp superior star (del) inpatient 20240901 case rate · both | $200.00 | $200.00 | $200.00 – $200.00 |
| 3 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 4 | Superior Healthplan 4242_chirp superior star (del) outpatient 20241201 case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 5 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 case rate · both | $200.00 | $200.00 | $200.00 – $200.00 |
| 6 | Superior Healthplan 4376_chirp superior star plus (del) inpatient 20240901 case rate · both | $200.00 | $200.00 | $200.00 – $200.00 |
| 7 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 8 | Superior Healthplan 4391_chirp superior star plus (del) outpatient 20241201 case rate · outpatient | $200.00 | $200.00 | $200.00 – $200.00 |
| 9 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 case rate · both | $435.08 | $435.08 | $435.08 – $435.08 |
| 10 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 case rate · both | $435.08 | $435.08 | $435.08 – $435.08 |
| 11 | Tricare 1229_tricare cah outpatient 20170101 case rate · outpatient | $469.59 | $469.59 | $469.59 – $469.59 |
| 12 | Blue Cross Blue Shield 3595_blue cross chip/star kids (del) inpatient 20240901 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 13 | Blue Cross Blue Shield 3694_chirp blue cross star (del) inpatient 20240901 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 14 | Blue Cross Blue Shield 4169_blue cross chip (del) outpatient 20241201 fee schedule · outpatient | $561.96 | $561.96 | $561.96 – $561.96 |
| 15 | Blue Cross Blue Shield 4169_blue cross chip/star kids (del) outpatient 20241201 fee schedule · outpatient | $561.96 | $561.96 | $561.96 – $561.96 |
| 16 | Blue Cross Blue Shield 4220_chirp blue cross star (del) outpatient 20241201 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 17 | Blue Cross Blue Shield 5005_blue cross star kids (del) outpatient 20241201 fee schedule · outpatient | $561.96 | $561.96 | $561.96 – $561.96 |
| 18 | UnitedHealthcare 3738_chirp uhc star (del) inpatient 20240901 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 19 | UnitedHealthcare 3749_chirp uhc star plus (del) inpatient 20240901 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 20 | UnitedHealthcare 4254_chirp uhc star (del) outpatient 20241201 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 21 | UnitedHealthcare 4265_chirp uhc star plus (del) outpatient 20241201 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 22 | UnitedHealthcare 4312_uhc star kids (del) outpatient 20241201 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 23 | UnitedHealthcare 4323_uhc star kids (del) inpatient 20240901 fee schedule · both | $561.96 | $561.96 | $561.96 – $561.96 |
| 24 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $805.59 | $805.59 | $805.59 – $805.59 |
| 25 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $805.59 | $805.59 | $805.59 – $805.59 |
Last updated: Jan 1, 2026
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