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
HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
Lincolnton, NC
See all hospitals reporting CPT 99285 →Price type
Atrium Health Hospitals Inc’s median price of $1.1k is 26% above the median hospital's median price ($897), higher than 59% 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: 13 payers, 65 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 | Amerihealth Caritas managed medicaid fee schedule · both | $154.93 | $154.93 | $154.93 – $154.93 |
| 2 | UnitedHealthcare managed medicaid fee schedule · both | $154.93 | $154.93 | $154.93 – $154.93 |
| 3 | WellCare managed medicaid fee schedule · both | $154.93 | $154.93 | $154.93 – $154.93 |
| 4 | Cigna Healthspring medicare advantage fee schedule · both | $162.30 | $162.30 | $162.30 – $162.30 |
| 5 | Humana medicare advantage fee schedule · both | $165.55 | $165.55 | $165.55 – $165.55 |
| 6 | Aetna medicare advantage fee schedule · both | $167.98 | $167.98 | $167.98 – $167.98 |
| 7 | UnitedHealthcare medicare advantage case rate · both | $168.44 | $168.44 | $168.44 – $168.44 |
| 8 | UnitedHealthcare iex commercial fee schedule · both | $258.59 | $258.59 | $258.59 – $258.59 |
| 9 | Bcbs Nc local group commercial fee schedule · both | $289.75 | $289.75 | $289.75 – $289.75 |
| 10 | Ambetter individual commercial fee schedule · both | $293.31 | $293.31 | $293.31 – $293.31 |
| 11 | Bcbs Nc local individual commercial fee schedule · both | $306.17 | $306.17 | $306.17 – $306.17 |
| 12 | Aetna north carolina preferred plus fee schedule · both | $333.12 | $333.12 | $333.12 – $333.12 |
| 13 | UnitedHealthcare hmo-ppo managed care fee schedule · both | $336.41 | $336.41 | $336.41 – $336.41 |
| 14 | Medcost ppo fee schedule · both | $363.25 | $363.25 | $363.25 – $363.25 |
| 15 | Medcost ultra fee schedule · both | $363.25 | $363.25 | $363.25 – $363.25 |
| 16 | Aetna broad network fee schedule · both | $368.01 | $368.01 | $368.01 – $368.01 |
| 17 | Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges | $379.46 | $379.46 | $379.46 – $379.46 |
| 18 | Bcbs Nc hmo-ppo managed care fee schedule · both | $381.24 | $381.24 | $381.24 – $381.24 |
| 19 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $386.53 | $386.53 | $386.53 – $386.53 |
| 20 | Aetna commercial fee schedule · both | $494.64 | $494.64 | $494.64 – $494.64 |
| 21 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $559.44 | $559.44 | $559.44 – $559.44 |
| 22 | Humana medicare advantage fee schedule · outpatient | $586.68 | $586.68 | $586.68 – $586.68 |
| 23 | Aetna medicare advantage fee schedule · outpatient | $595.30 | $595.30 | $595.30 – $595.30 |
| 24 | Cigna Healthspring medicare advantage fee schedule · outpatient | $603.93 | $603.93 | $603.93 – $603.93 |
| 25 | UnitedHealthcare medicare advantage fee schedule · outpatient | $605.72 | $605.72 | $605.72 – $605.72 |
Last updated: Dec 1, 2025
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