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 LEVEL 5 VISIT 99285
Mount Vernon, IL
See all hospitals reporting CPT 99285 →Price type
Deaconess Illinois Crossroads Inc’s median price of $639 is 29% below the median hospital's median price ($897), higher than 30% 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: 10 payers, 44 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 | Aetna Better Health managed medicaid professional · fee schedule · both | $121.28 | $121.28 | $121.28 – $121.28 |
| 2 | Bcbs Il managed medicaid professional · fee schedule · both | $121.28 | $121.28 | $121.28 – $121.28 |
| 3 | Molina managed medicaid professional · fee schedule · both | $121.28 | $121.28 | $121.28 – $121.28 |
| 4 | WellCare managed medicaid professional · fee schedule · both | $121.28 | $121.28 | $121.28 – $121.28 |
| 5 | Aetna medicare advantage facility · other · inpatient | $160.98 | $160.98 | $160.98 – $160.98 |
| 6 | Aetna medicare advantage professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 7 | Aetna Better Health medicare mmp professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 8 | Bcbs Il medicare advantage professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 9 | Humana dual medicare/medicaid professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 10 | Humana medicare advantage professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 11 | Molina dual medicare/medicaid professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 12 | UnitedHealthcare medicare advantage professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 13 | WellCare dual medicare/medicaid professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 14 | WellCare medicare advantage professional · fee schedule · both | $168.28 | $168.28 | $168.28 – $168.28 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $181.97 | $181.97 | $168.28 – $195.65 |
| 16 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $182.44 | $182.44 | $182.44 – $182.44 |
| 17 | Bcbs Il blue choice ppo professional · fee schedule · both | $234.89 | $234.89 | $234.89 – $234.89 |
| 18 | Bcbs Il hmo/ppo professional · fee schedule · both | $234.89 | $234.89 | $234.89 – $234.89 |
| 19 | Humana epo/hmo/pos/ppo professional · percent of total billed charges · bothfrom % of charges | $365.82 | $365.82 | $365.82 – $365.82 |
| 20 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $370.51 | $370.51 | $370.51 – $370.51 |
| 21 | Aetna medicare advantage facility · case rate · outpatient | $639.11 | $639.11 | $639.11 – $639.11 |
| 22 | Bcbs Il medicare advantage facility · case rate · outpatient | $639.11 | $639.11 | $639.11 – $639.11 |
| 23 | Humana dual medicare/medicaid facility · case rate · outpatient | $639.11 | $639.11 | $639.11 – $639.11 |
| 24 | Humana medicare advantage facility · case rate · outpatient | $639.11 | $639.11 | $639.11 – $639.11 |
| 25 | Molina dual medicare/medicaid facility · other · inpatient | $639.11 | $639.11 | $639.11 – $639.11 |
Last updated: Feb 3, 2026
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