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
99285 - ER High MDM
Washington, DC
See all hospitals reporting CPT 99285 →Price type
Children's National Hospital’s median price of $228 is 75% below the median hospital's median price ($897), higher than 4% 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, 41 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 | Anthem medicaid professional · fee schedule · both | $122.28 | $122.28 | $122.28 – $122.28 |
| 2 | Kaiser managed medicaid professional · fee schedule · both | $131.87 | $131.87 | $131.87 – $131.87 |
| 3 | Molina managed medicaid (ccc plus) professional · fee schedule · both | $149.85 | $149.85 | $149.85 – $149.85 |
| 4 | Molina managed medicaid (medallion) professional · fee schedule · both | $149.85 | $149.85 | $149.85 – $149.85 |
| 5 | UnitedHealthcare managed medicaid professional · fee schedule · both | $161.40 | $161.40 | $123.48 – $199.32 |
| 6 | Aetna Better Health managed medicaid professional · fee schedule · both | $163.85 | $163.85 | $137.86 – $189.83 |
| 7 | Anthem hmo facility · fee schedule · outpatient | $183.47 | $183.47 | $183.47 – $183.47 |
| 8 | Anthem hmx facility · fee schedule · outpatient | $183.47 | $183.47 | $183.47 – $183.47 |
| 9 | Anthem ppo/par facility · fee schedule · outpatient | $183.47 | $183.47 | $183.47 – $183.47 |
| 10 | Carefirst hmo professional · fee schedule · both | $193.13 | $193.13 | $193.13 – $193.13 |
| 11 | Aetna commercial professional · fee schedule · both | $196.79 | $196.79 | $196.79 – $196.79 |
| 12 | Carefirst rpn professional · fee schedule · both | $203.29 | $203.29 | $203.29 – $203.29 |
| 13 | Carefirst managed medicaid professional · fee schedule · both | $227.80 | $227.80 | $227.80 – $227.80 |
| 14 | Anthem hmx professional · fee schedule · both | $257.39 | $257.39 | $257.39 – $257.39 |
| 15 | Anthem hmo professional · fee schedule · both | $280.26 | $280.26 | $280.26 – $280.26 |
| 16 | Cigna oap professional · percent of total billed charges · bothfrom % of charges | $304.00 | $304.00 | $304.00 – $304.00 |
| 17 | Cigna ppo professional · percent of total billed charges · bothfrom % of charges | $304.00 | $304.00 | $304.00 – $304.00 |
| 18 | Anthem ppo/par professional · fee schedule · both | $350.63 | $350.63 | $350.63 – $350.63 |
| 19 | Kaiser commercial professional · percent of total billed charges · bothfrom % of charges | $364.80 | $364.80 | $364.80 – $364.80 |
| 20 | Carefirst managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,978 | $1,978 | $1,978 – $1,978 |
| 21 | Kaiser managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,978 | $1,978 | $1,978 – $1,978 |
| 22 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1,978 | $1,978 | $1,978 – $1,978 |
| 23 | Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2,033 | $2,033 | $2,033 – $2,033 |
| 24 | Aetna commercial facility · case rate · outpatient | $2,049 | $2,049 | $2,049 – $2,049 |
| 25 | Cigna epo facility · percent of total billed charges · inpatientfrom % of charges | $2,307 | $2,307 | $2,307 – $2,307 |
Last updated: Apr 2, 2026
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