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 ED VISIT LEVEL 5
Lenoir, NC
See all hospitals reporting CPT 99285 →Price type
Caldwell Memorial Hospital’s median price of $602 is 33% below the median hospital's median price ($897), higher than 22% 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, 24 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 facility · percent of total billed charges · outpatientfrom % of charges | $495.43 | $495.43 | $495.43 – $495.43 |
| 2 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $495.43 | $495.43 | $495.43 – $495.43 |
| 3 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $495.43 | $495.43 | $495.43 – $495.43 |
| 4 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $556.38 | $556.38 | $556.38 – $556.38 |
| 5 | Optum vaccn facility · fee schedule · outpatient | $573.59 | $573.59 | $573.59 – $573.59 |
| 6 | Optum vaccn behavioral health facility · fee schedule · outpatient | $573.59 | $573.59 | $573.59 – $573.59 |
| 7 | Humana medicare hmo facility · fee schedule · outpatient | $596.53 | $596.53 | $596.53 – $596.53 |
| 8 | Humana medicare ppo facility · fee schedule · outpatient | $596.53 | $596.53 | $596.53 – $596.53 |
| 9 | Cigna medicare advantage facility · fee schedule · outpatient | $602.27 | $602.27 | $602.27 – $602.27 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $602.27 | $602.27 | $602.27 – $602.27 |
| 11 | Aetna medicare advantage facility · fee schedule · outpatient | $608.01 | $608.01 | $608.01 – $608.01 |
| 12 | Medcost ultra facility · percent of total billed charges · inpatientfrom % of charges | $735.68 | $735.68 | $735.68 – $735.68 |
| 13 | Blue Cross Blue Shield blue value facility · case rate · outpatient | $983.00 | $983.00 | $983.00 – $983.00 |
| 14 | Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,037 | $1,037 | $1,037 – $1,037 |
| 15 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $1,218 | $1,218 | $1,218 – $1,218 |
| 16 | Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,338 | $1,338 | $1,338 – $1,338 |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,356 | $1,356 | $1,356 – $1,356 |
| 18 | Blue Cross Blue Shield blue select/hmo/ppo facility · case rate · outpatient | $1,377 | $1,377 | $1,377 – $1,377 |
| 19 | Medcost ultra facility · percent of total billed charges · outpatientfrom % of charges | $1,513 | $1,513 | $1,513 – $1,513 |
| 20 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1,839 | $1,839 | $1,839 – $1,839 |
| 21 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1,839 | $1,839 | $1,839 – $1,839 |
| 22 | UnitedHealthcare individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $2,512 | $2,512 | $2,512 – $2,512 |
| 23 | Cigna commercial facility · per diem · outpatient | $2,988 | $2,988 | $2,988 – $2,988 |
| 24 | UnitedHealthcare commercial facility · case rate · outpatient | $3,076 | $3,076 | $3,076 – $3,076 |
Last updated: Jun 4, 2026
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