Search hospital rates

Pick a procedure and (optionally) a state or payer. Rates come from each hospital's federally-mandated machine-readable file.

ProcedureHospital (name or CCN)State

Payer

Rate type

Hospitals

Payers

Negotiated range

$8.17 – $7,800.00

Negotiated median

$1,062.43

CPT 99285 ED visit level 5 · Showing 168 of 168 rate rows

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Hospital	ST	Payer	Plan	Setting	Type	Rate
East Morgan County Hospital	CO	Chargemaster	N/A	outpatient	gross	$4,960.00
East Morgan County Hospital	CO	Chargemaster	N/A	both	gross	$4,960.00
East Morgan County Hospital	CO	Chargemaster	N/A	inpatient	gross	$4,960.00
East Morgan County Hospital	CO	Chargemaster	N/A	outpatient	gross	$3,764.00
East Morgan County Hospital	CO	Chargemaster	N/A	both	gross	$3,764.00
East Morgan County Hospital	CO	Chargemaster	N/A	inpatient	gross	$3,764.00
Vail Valley Medical Center	CO	Chargemaster	N/A	both	gross	$3,380.00
Rio Grande Hospital	CO	Chargemaster	N/A	outpatient	gross	$3,371.10
East Morgan County Hospital	CO	Chargemaster	N/A	outpatient	gross	$1,849.00
East Morgan County Hospital	CO	Chargemaster	N/A	both	gross	$1,849.00
East Morgan County Hospital	CO	Chargemaster	N/A	inpatient	gross	$1,849.00
Rio Grande Hospital	CO	Chargemaster	N/A	outpatient	gross	$1,798.50
Mt. San Rafael Hospital	CO	Chargemaster	N/A	outpatient	gross	$1,726.00
Mt. San Rafael Hospital	CO	Chargemaster	N/A	outpatient	gross	$1,715.00
Pioneers Medical Center	CO	Cash pay	N/A	—	cash	$3,337.60
East Morgan County Hospital	CO	Cash pay	N/A	outpatient	cash	$2,976.00
East Morgan County Hospital	CO	Cash pay	N/A	both	cash	$2,976.00
East Morgan County Hospital	CO	Cash pay	N/A	inpatient	cash	$2,976.00
Vail Valley Medical Center	CO	Cash pay	N/A	both	cash	$2,535.00
East Morgan County Hospital	CO	Cash pay	N/A	outpatient	cash	$2,258.40
East Morgan County Hospital	CO	Cash pay	N/A	both	cash	$2,258.40
East Morgan County Hospital	CO	Cash pay	N/A	inpatient	cash	$2,258.40
Pioneers Medical Center	CO	Cash pay	N/A	—	cash	$1,392.80
Mt. San Rafael Hospital	CO	Cash pay	N/A	outpatient	cash	$1,208.00
Mt. San Rafael Hospital	CO	Cash pay	N/A	outpatient	cash	$1,201.00
East Morgan County Hospital	CO	Cash pay	N/A	outpatient	cash	$1,109.40
East Morgan County Hospital	CO	Cash pay	N/A	both	cash	$1,109.40
East Morgan County Hospital	CO	Cash pay	N/A	inpatient	cash	$1,109.40
Rio Grande Hospital	CO	Cash pay	N/A	outpatient	cash	$674.22
Pioneers Medical Center	CO	Cash pay	N/A	—	cash	$360.80
Rio Grande Hospital	CO	Cash pay	N/A	outpatient	cash	$359.70
Mt. San Rafael Hospital	CO	[De-identified Min]	—	outpatient	min	$1,053.00
Mt. San Rafael Hospital	CO	[De-identified Min]	—	outpatient	min	$1,046.00
East Morgan County Hospital	CO	[De-identified Min]	—	outpatient	min	$1,041.60
East Morgan County Hospital	CO	[De-identified Min]	—	both	min	$1,041.60
East Morgan County Hospital	CO	[De-identified Min]	—	inpatient	min	$1,041.60
East Morgan County Hospital	CO	[De-identified Min]	—	outpatient	min	$790.44
East Morgan County Hospital	CO	[De-identified Min]	—	both	min	$790.44
East Morgan County Hospital	CO	[De-identified Min]	—	inpatient	min	$790.44
Vail Valley Medical Center	CO	[De-identified Min]	—	both	min	$621.39
East Morgan County Hospital	CO	[De-identified Min]	—	outpatient	min	$388.29
East Morgan County Hospital	CO	[De-identified Min]	—	both	min	$388.29
East Morgan County Hospital	CO	[De-identified Min]	—	inpatient	min	$388.29
Rio Grande Hospital	CO	[De-identified Min]	—	outpatient	min	$165.82
Pioneers Medical Center	CO	[de-identified min]	—	—	min	$8.17
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS - HMO BLUE S.TX [5015201]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS - OUT OF STATE [5015202]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS - PPO/POS [5015203]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS - FEDERAL EMPLOYEE [5015204]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS - HEALTHSELECT [5015205]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS - CALIFORNIA [5015206]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS - KIDNEY [5015207]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	STAR KIDS-BLUE CROSS BLUE SHIELD [5015208]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS SAVINGS CHOICE 2700 HDHP [5015209]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS 3000 SAVINGS CHOICE [5015210]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS 5000 BROAD EPO [5015211]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS 3000 BROAD EPO [5015212]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS PRIME ANTHEM [5015214]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS PREMERA PPO [5015215]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	HEALTHY BLUE MO [5015216]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS MY BLUE HEALTH HMO [5015217]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS DCH EMPLOYEE INSURANCE [5032401]	outpatient	negotiated	$7,800.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	EXCHANGE-BCBS BLUE ADV BAV [5022001]	outpatient	negotiated	$7,400.00
Rio Grande Hospital	CO	Blue Cross Blue Shield	BCBS-HMO BLUE SOUTH TEXAS [5022002]	outpatient	negotiated	$7,400.00
East Morgan County Hospital	CO	Aetna	Commercial	both	negotiated	$4,364.80
East Morgan County Hospital	CO	Anthem BCBS	Commercial	outpatient	negotiated	$4,336.53
Pioneers Medical Center	CO	charge amount	—	—	negotiated	$4,172.00
East Morgan County Hospital	CO	Anthem BCBS	Commercial	outpatient	negotiated	$4,119.78
East Morgan County Hospital	CO	umr	Commercial	outpatient	negotiated	$3,710.08
East Morgan County Hospital	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$3,710.08
East Morgan County Hospital	CO	Aetna	Commercial	both	negotiated	$3,312.32
East Morgan County Hospital	CO	Anthem BCBS	Commercial	outpatient	negotiated	$3,290.87
East Morgan County Hospital	CO	caresoure kentucky	Commercial	outpatient	negotiated	$3,224.00
East Morgan County Hospital	CO	Anthem BCBS	Commercial	outpatient	negotiated	$3,126.38
East Morgan County Hospital	CO	umr	Commercial	outpatient	negotiated	$2,815.47
East Morgan County Hospital	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$2,815.47
East Morgan County Hospital	CO	caresoure kentucky	Commercial	outpatient	negotiated	$2,446.60
Pioneers Medical Center	CO	charge amount	—	—	negotiated	$1,741.00
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$1,640.52
East Morgan County Hospital	CO	Aetna	Commercial	both	negotiated	$1,627.12
East Morgan County Hospital	CO	Anthem BCBS	Commercial	outpatient	negotiated	$1,616.58
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$1,584.00
Mt. San Rafael Hospital	CO	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$1,553.00
Mt. San Rafael Hospital	CO	Blue Cross Blue Shield	Commercial	outpatient	negotiated	$1,544.00
East Morgan County Hospital	CO	Anthem BCBS	Commercial	outpatient	negotiated	$1,535.78
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$1,525.35
East Morgan County Hospital	CO	umr	Commercial	outpatient	negotiated	$1,383.05
East Morgan County Hospital	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$1,383.05
East Morgan County Hospital	CO	UnitedHealthcare	Medicare	outpatient	negotiated	$1,289.60
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$1,225.35
East Morgan County Hospital	CO	caresoure kentucky	Commercial	outpatient	negotiated	$1,201.85
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$1,194.56
Mt. San Rafael Hospital	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$1,179.00
Mt. San Rafael Hospital	CO	UnitedHealthcare	Commercial	outpatient	negotiated	$1,172.00
East Morgan County Hospital	CO	WellCare	Medicaid	outpatient	negotiated	$1,140.80
East Morgan County Hospital	CO	Aetna	Medicare	outpatient	negotiated	$1,091.20
Mt. San Rafael Hospital	CO	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$1,084.00
Mt. San Rafael Hospital	CO	Blue Cross Blue Shield	Medicare Advantage	outpatient	negotiated	$1,078.00
East Morgan County Hospital	CO	Molina	Medicaid	outpatient	negotiated	$1,062.43
Mt. San Rafael Hospital	CO	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$1,053.00
East Morgan County Hospital	CO	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$1,052.02
East Morgan County Hospital	CO	Humana	Medicare	outpatient	negotiated	$1,052.02
East Morgan County Hospital	CO	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$1,052.02
East Morgan County Hospital	CO	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$1,052.02
East Morgan County Hospital	CO	WellCare	Medicare	inpatient	negotiated	$1,052.02
Mt. San Rafael Hospital	CO	UnitedHealthcare	Medicare Advantage	outpatient	negotiated	$1,046.00
East Morgan County Hospital	CO	Aetna	Medicaid	outpatient	negotiated	$1,041.60
East Morgan County Hospital	CO	Anthem BCBS	Medicaid	outpatient	negotiated	$1,041.60
East Morgan County Hospital	CO	Humana	Medicaid	outpatient	negotiated	$1,041.60
Rio Grande Hospital	CO	police departments [50065]	POLICE DEPTS [5006501]	outpatient	negotiated	$1,000.00
East Morgan County Hospital	CO	UnitedHealthcare	Medicare	outpatient	negotiated	$978.64
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$928.74
East Morgan County Hospital	CO	WellCare	Medicaid	outpatient	negotiated	$865.72
East Morgan County Hospital	CO	Aetna	Medicare	outpatient	negotiated	$828.08
East Morgan County Hospital	CO	Molina	Medicaid	outpatient	negotiated	$806.25
East Morgan County Hospital	CO	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$798.34
East Morgan County Hospital	CO	Humana	Medicare	outpatient	negotiated	$798.34
East Morgan County Hospital	CO	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$798.34
East Morgan County Hospital	CO	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$798.34
East Morgan County Hospital	CO	WellCare	Medicare	inpatient	negotiated	$798.34
East Morgan County Hospital	CO	Aetna	Medicaid	outpatient	negotiated	$790.44
East Morgan County Hospital	CO	Anthem BCBS	Medicaid	outpatient	negotiated	$790.44
East Morgan County Hospital	CO	Humana	Medicaid	outpatient	negotiated	$790.44
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$762.67
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$609.22
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$598.60
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$590.07
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$581.23
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$535.41
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$523.48
East Morgan County Hospital	CO	UnitedHealthcare	Medicare	outpatient	negotiated	$480.74
Pioneers Medical Center	CO	charge amount	—	—	negotiated	$451.00
East Morgan County Hospital	CO	WellCare	Medicaid	outpatient	negotiated	$425.27
East Morgan County Hospital	CO	Aetna	Medicare	outpatient	negotiated	$406.78
East Morgan County Hospital	CO	Molina	Medicaid	outpatient	negotiated	$396.06
East Morgan County Hospital	CO	Anthem BCBS	Medicare Advantage	outpatient	negotiated	$392.17
East Morgan County Hospital	CO	Humana	Medicare	outpatient	negotiated	$392.17
East Morgan County Hospital	CO	optum ccn region 1	Veterans Affairs Plan	outpatient	negotiated	$392.17
East Morgan County Hospital	CO	optum ccn region 2	Veterans Affairs Plan	outpatient	negotiated	$392.17
East Morgan County Hospital	CO	WellCare	Medicare	inpatient	negotiated	$392.17
East Morgan County Hospital	CO	Aetna	Medicaid	outpatient	negotiated	$388.29
East Morgan County Hospital	CO	Anthem BCBS	Medicaid	outpatient	negotiated	$388.29
East Morgan County Hospital	CO	Humana	Medicaid	outpatient	negotiated	$388.29
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$334.80
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$322.00
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$281.98
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$274.98
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$233.32
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$216.59
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$167.40
Rio Grande Hospital	CO	texas rehabilitation comm [50038]	TEXAS REHABILITATION COMM [5003801]	outpatient	negotiated	$165.82
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$61.55
Pioneers Medical Center	CO	negotiated charge	—	—	negotiated	$8.17
Rio Grande Hospital	CO	[De-identified Max]	—	outpatient	max	$7,800.00
East Morgan County Hospital	CO	[De-identified Max]	—	outpatient	max	$4,364.80
East Morgan County Hospital	CO	[De-identified Max]	—	both	max	$4,364.80
East Morgan County Hospital	CO	[De-identified Max]	—	inpatient	max	$4,364.80
East Morgan County Hospital	CO	[De-identified Max]	—	outpatient	max	$3,312.32
East Morgan County Hospital	CO	[De-identified Max]	—	both	max	$3,312.32
East Morgan County Hospital	CO	[De-identified Max]	—	inpatient	max	$3,312.32
Vail Valley Medical Center	CO	[De-identified Max]	—	both	max	$3,211.00
Pioneers Medical Center	CO	[de-identified max]	—	—	max	$1,640.52
East Morgan County Hospital	CO	[De-identified Max]	—	outpatient	max	$1,627.12
East Morgan County Hospital	CO	[De-identified Max]	—	both	max	$1,627.12
East Morgan County Hospital	CO	[De-identified Max]	—	inpatient	max	$1,627.12
Mt. San Rafael Hospital	CO	[De-identified Max]	—	outpatient	max	$1,553.00
Mt. San Rafael Hospital	CO	[De-identified Max]	—	outpatient	max	$1,544.00
Rio Grande Hospital	CO	[De-identified Max]	—	outpatient	max	$165.82

Rates are point-in-time snapshots from each hospital's machine-readable file. Payers can negotiate different rates for different plans within the same network — this view shows the latest snapshot per (hospital, payer, plan, rate type).