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Level 5 Emergency Room Visit

HCPCS 99285

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

AI EXPLANATION: A level 5 emergency room visit involves the immediate evaluation and management of severe, complex, or potentially life-threatening symptoms. An emergency clinician takes a focused medical history, conducts an extensive physical examination, and makes high-complexity medical decisions, which often include coordinating urgent diagnostic tests, continuous monitoring, and vital medical interventions.

Across 9 hospitals, negotiated prices for this code range from $305 to $12,323. Each dot below is one payer and plan's rate as published by the hospital.

$0$5k$10k$12.5k
AdventHealth Castle Rock
AdventHealth Littleton
AdventHealth Parker
Craig Hospital
HCA HealthONE Centennial
HCA HealthONE Sky Ridge
HCA HealthONE South Parker ER
HCA HealthONE Swedish
UCHealth Highlands Ranch Hospital

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HCA HealthONE Centennial CENTENNIAL, CO, 8011213 plans ▾: $1,111.00 to $11,896.20See details ›
HCA HealthONE Sky Ridge LONE TREE, CO, 8012413 plans ▾: $1,135.00 to $11,896.20See details ›
HCA HealthONE South Parker ER PARKER, CO, 8013413 plans ▾: $1,135.00 to $11,896.20See details ›
HCA HealthONE Swedish ENGLEWOOD, CO, 8011313 plans ▾: $1,393.00 to $10,267.40See details ›
UCHealth Highlands Ranch Hospital HIGHLANDS RANCH, CO, 8012931 plans ▾ $2,616.30: $616.15 to $5,232.60See details ›
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