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
Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making
HOUSTON, TX
See all hospitals reporting CPT 99285 →Price type
Hca Houston Healthcare West’s median price of $4k is 346% above the median hospital's median price ($897), higher than 95% 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, 39 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 | Molina chip case rate · outpatient | $400.00 | $400.00 | $400.00 – $400.00 |
| 2 | Molina star case rate · outpatient | $400.00 | $400.00 | $400.00 – $400.00 |
| 3 | Molina starkids case rate · outpatient | $400.00 | $400.00 | $400.00 – $400.00 |
| 4 | Molina starplus case rate · outpatient | $400.00 | $400.00 | $400.00 – $400.00 |
| 5 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $1,201 | $1,201 | $1,201 – $1,201 |
| 6 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $2,503 | $2,503 | $2,503 – $2,503 |
| 7 | Aetna qhpexchange case rate · outpatient | $2,537 | $2,537 | $2,537 – $2,537 |
| 8 | UnitedHealthcare globalappendix percent of total billed charges · outpatientfrom % of charges | $3,218 | $3,218 | $3,218 – $3,218 |
| 9 | Oscar hix case rate · outpatient | $3,343 | $3,343 | $3,343 – $3,343 |
| 10 | Aetna nbhmo case rate · outpatient | $3,372 | $3,372 | $3,372 – $3,372 |
| 11 | Aetna nbpos case rate · outpatient | $3,372 | $3,372 | $3,372 – $3,372 |
| 12 | Humana hmo case rate · outpatient | $3,514 | $3,514 | $3,514 – $3,514 |
| 13 | Humana ppo case rate · outpatient | $3,514 | $3,514 | $3,514 – $3,514 |
| 14 | Aetna commhmo case rate · outpatient | $3,582 | $3,582 | $3,582 – $3,582 |
| 15 | Aetna commpos case rate · outpatient | $3,582 | $3,582 | $3,582 – $3,582 |
| 16 | First Health comm percent of total billed charges · outpatientfrom % of charges | $3,811 | $3,811 | $3,811 – $3,811 |
| 17 | Aetna nbppo case rate · outpatient | $3,999 | $3,999 | $3,999 – $3,999 |
| 18 | Aetna oonhmo case rate · outpatient | $4,213 | $4,213 | $4,213 – $4,213 |
| 19 | Aetna oonpos case rate · outpatient | $4,213 | $4,213 | $4,213 – $4,213 |
| 20 | Aetna commppo case rate · outpatient | $4,248 | $4,248 | $4,248 – $4,248 |
| 21 | Healthcare Highways narrownetwork case rate · outpatient | $4,258 | $4,258 | $4,258 – $4,258 |
| 22 | Blue Cross Blue Shield mybluehealth case rate · outpatient | $4,520 | $4,520 | $4,520 – $4,520 |
| 23 | Aetna asahmo case rate · outpatient | $4,551 | $4,551 | $4,551 – $4,551 |
| 24 | Aetna asapos case rate · outpatient | $4,551 | $4,551 | $4,551 – $4,551 |
| 25 | Cigna csn case rate · outpatient | $4,988 | $4,988 | $4,988 – $4,988 |
Last updated: May 14, 2026
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