ED visit level 5 in Texas
What Texas hospitals charge for ed visit level 5 (CPT 99285). Rates sourced from federally-mandated machine-readable files.
Hospitals
60
Rate rows
1,769
Neg. median
$1,242.75
Min
$1
Max
$83,343
Cash median
$1,191.05
Across 60 Texas hospitals, the negotiated rate for ED visit level 5 ranges from $1 to $83,343, with a median of $1,242.75. The interquartile range is $575.69 to $2,657.44. Cash-pay patients typically pay $1,191.05; gross charges median $2,781.55.
By payer in Texas
Top 30 payers for ED visit level 5 in Texas.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 45 | 230 | $2,255.16 |
| UnitedHealthcare | 41 | 124 | $1,166.59 |
| Aetna | 39 | 122 | $1,133.69 |
| Cigna | 30 | 67 | $1,193.04 |
| Humana | 29 | 70 | $1,325.6 |
| Multiplan | 18 | 30 | $2,976.58 |
| Medicaid | 18 | 43 | $386.42 |
| First Health | 13 | 27 | $2,531.1 |
| Medicare | 10 | 37 | $538.46 |
| commercial | galaxy | all plans | 9 | 9 | $3,309.9 |
| Ambetter | 8 | 8 | $1,119.16 |
| commercial | entrust | all plans | 8 | 8 | $1,233.39 |
| wellmed | 8 | 8 | $575.69 |
| healthsmart | 7 | 23 | $2,852.84 |
| commercial | community health choice | exchange | 7 | 7 | $783.69 |
| wellpoint | 6 | 6 | $777.18 |
| commercial | renaissance | all plans | 5 | 5 | $376.4 |
| commercial | superior health plan | all plans | 5 | 5 | $784.17 |
| web tpa [2115] | 5 | 9 | $1,715.97 |
| commercial | kelseycare | exchange | 5 | 5 | $705.75 |
| commercial | nppn | all plans | 5 | 5 | $3,115.2 |
| commercial | usa health network | all plans | 5 | 5 | $3,309.9 |
| commercial | harris health | ers | 5 | 5 | $784.17 |
| healthcare highways [2210] | 5 | 15 | $847.25 |
| scott & white | 5 | 6 | $925 |
| commercial | kelseycare | all plans | 5 | 5 | $1,240.2 |
| commercial | nxhealth | all plans | 5 | 5 | $1,698 |
| commercial | phcs | all plans | 5 | 9 | $2,892.55 |
| healthscope benefits [2290] | 5 | 6 | $915.36 |
| 90 degree benefits | 5 | 5 | $1,439.22 |
Hospital comparison — ED visit level 5 in Texas
Sorted by lowest negotiated median rate. Up to 100 hospitals.