Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · HCPCS 99285 · DADEVILLE, AL

99285 — Pr Emergency Dept Visit High

What each payer pays LAKE MARTIN COMMUNITY HOSPITAL (CCN 010052) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$369 All-payer median here
$319 Cash / self-pay here
6 payer/plan-name variants
← This hospital National rates for 99285 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
Aetna $2,342 535.1% 2
Medicaid Alabama $425 15.3% 2
VIVA Health Plan MCR Adv $375 1.7% 2
BCBS of Alabama $362 -1.7% 2
Palmetto GBA $362 -1.7% 2
Humana $350 -5.1% 2

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.