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
ED LEVEL 5 (CRITICAL VISIT)
Orange, CA
See all hospitals reporting CPT 99285 →Price type
Childrens Hospital of Orange County - Profit’s median price of $446 is 50% below the median hospital's median price ($897), higher than 11% 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, 34 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 | Bcbs Ca blue cross of california medi-cal/caloptima/healthy families facility · fee schedule · outpatient | $155.03 | $155.03 | $155.03 – $155.03 |
| 2 | Molina molina medi-cal facility · fee schedule · outpatient | $178.28 | $178.28 | $178.28 – $178.28 |
| 3 | Kaiser medi-cal kaiser facility · other · outpatient | $232.54 | $232.54 | $232.54 – $232.54 |
| 4 | Oscar oscar health plan ppo epo facility · percent of total billed charges · outpatientfrom % of charges | $293.70 | $293.70 | $293.70 – $293.70 |
| 5 | Bcbs Ca blue cross of california hmo/pos/ppo** facility · other · outpatient | $437.88 | $437.88 | $437.88 – $437.88 |
| 6 | Bcbs Ca blue cross of california hmo/pos/ppo** facility · case rate · outpatient | $555.00 | $555.00 | $555.00 – $555.00 |
| 7 | Bcbs Ca blue cross/vivity/pih-presbyterian health/hmo facility · case rate · outpatient | $696.00 | $696.00 | $696.00 – $696.00 |
| 8 | Blue Cross Blue Shield blue shield-triwest-tricare programs facility · fee schedule · outpatient | $765.95 | $765.95 | $765.95 – $765.95 |
| 9 | Medicare medicare** facility · fee schedule · outpatient | $765.95 | $765.95 | $765.95 – $765.95 |
| 10 | Bcbs Ca blue cross of california select ppo out net facility · case rate · outpatient | $1,183 | $1,183 | $1,183 – $1,183 |
| 11 | Bcbs Ca blue cross of california hmo/pos in net facility · case rate · outpatient | $1,245 | $1,245 | $1,245 – $1,245 |
| 12 | Bcbs Ca blue cross of california ppo/pos out net facility · case rate · outpatient | $1,245 | $1,245 | $1,245 – $1,245 |
| 13 | Aetna aetna us healthcare hmo/pos in net facility · fee schedule · outpatient | $1,455 | $1,455 | $1,455 – $1,455 |
| 14 | Aetna aetna us healthcare ppo/pos out net facility · fee schedule · outpatient | $1,455 | $1,455 | $1,455 – $1,455 |
| 15 | Bcbs Ca blue shield of california uc care ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,615 | $1,615 | $316.13 – $2,914 |
| 16 | Cigna cigna epo/ppo facility · other · outpatient | $1,629 | $1,629 | $318.80 – $2,938 |
| 17 | Cigna cigna healthcare of california hmo/pos in net facility · other · outpatient | $1,629 | $1,629 | $318.80 – $2,938 |
| 18 | Kaiser kaiser foundation hospitals hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,637 | $1,637 | $320.40 – $2,953 |
| 19 | Magellan magellan health services hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,637 | $1,637 | $320.40 – $2,953 |
| 20 | Magellan magellan health services ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,637 | $1,637 | $320.40 – $2,953 |
| 21 | Blue Cross Blue Shield blue shield exchange/covered ca/ppo facility · per diem · outpatient | $1,893 | $1,893 | $370.60 – $3,416 |
| 22 | Bcbs Ca blue shield of california hmo/pos/ppo** facility · per diem · outpatient | $1,961 | $1,961 | $383.95 – $3,539 |
| 23 | Blue Cross Blue Shield blue shield calpers ppo facility · per diem · outpatient | $1,961 | $1,961 | $383.95 – $3,539 |
| 24 | First Health first health affordable epo/ppo** facility · percent of total billed charges · outpatientfrom % of charges | $1,991 | $1,991 | $389.82 – $3,593 |
| 25 | Cigna cigna behavioral health (evernorth behavioral health inc) hmo facility · percent of total billed charges · outpatientfrom % of charges | $2,182 | $2,182 | $427.20 – $3,938 |
Last updated: Mar 19, 2026
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