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 ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC
Lexington, NC
See all hospitals reporting CPT 99285 →Price type
Lexington Medical Center’s median price of $988 is 10% above the median hospital's median price ($897), higher than 54% 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: 11 payers, 38 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 | Humana medicare advantage other · outpatient | $420.44 | $420.44 | $420.44 – $420.44 |
| 2 | UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $501.44 | $501.44 | $501.44 – $501.44 |
| 3 | WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges | $501.44 | $501.44 | $501.44 – $501.44 |
| 4 | Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges | $561.26 | $561.26 | $561.26 – $561.26 |
| 5 | Medcost employee managed care percent of total billed charges · inpatientfrom % of charges | $577.07 | $577.07 | $577.07 – $577.07 |
| 6 | Aetna medicare advantage other · outpatient | $593.49 | $593.49 | $593.49 – $593.49 |
| 7 | Blue Cross Blue Shield medicare advantage other · outpatient | $593.49 | $593.49 | $593.49 – $593.49 |
| 8 | UnitedHealthcare medicare advantage other · outpatient | $593.49 | $593.49 | $593.49 – $593.49 |
| 9 | WellCare medicare advantage other · outpatient | $593.49 | $593.49 | $593.49 – $593.49 |
| 10 | Medcost employee managed care percent of total billed charges · outpatientfrom % of charges | $732.53 | $732.53 | $732.53 – $732.53 |
| 11 | Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges | $748.34 | $748.34 | $748.34 – $748.34 |
| 12 | Ambetter managed care percent of total billed charges · outpatientfrom % of charges | $756.25 | $756.25 | $756.25 – $756.25 |
| 13 | Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges | $760.20 | $760.20 | $760.20 – $760.20 |
| 14 | Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges | $787.87 | $787.87 | $787.87 – $787.87 |
| 15 | Oscar managed care percent of total billed charges · outpatientfrom % of charges | $843.20 | $843.20 | $843.20 – $843.20 |
| 16 | Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges | $858.75 | $858.75 | $858.75 – $858.75 |
| 17 | Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges | $890.63 | $890.63 | $890.63 – $890.63 |
| 18 | Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges | $902.75 | $902.75 | $902.75 – $902.75 |
| 19 | Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges | $988.13 | $988.13 | $988.13 – $988.13 |
| 20 | Cigna medicare advantage other · outpatient | $1,028 | $1,028 | $1,028 – $1,028 |
| 21 | UnitedHealthcare iex individual percent of total billed charges · outpatientfrom % of charges | $1,036 | $1,036 | $1,036 – $1,036 |
| 22 | Cigna managed care percent of total billed charges · outpatientfrom % of charges | $1,146 | $1,146 | $1,146 – $1,146 |
| 23 | Oscar managed care percent of total billed charges · inpatientfrom % of charges | $1,159 | $1,159 | $1,159 – $1,159 |
| 24 | Cigna managed care percent of total billed charges · inpatientfrom % of charges | $1,167 | $1,167 | $1,167 – $1,167 |
| 25 | UnitedHealthcare managed care percent of total billed charges · outpatientfrom % of charges | $1,180 | $1,180 | $1,180 – $1,180 |
Last updated: Oct 8, 2025
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