Emergency Department Visit, High Severity

CPT 9928538 Colorado hospitals reporting a negotiated rate

Emergency department evaluation and management of high severity (Level 5). For complex or unstable presentations.

Typical insured price · Colorado

$2,421to$5,984

What hospitals actually accept from insurers, between the 25th and 75th percentile of per-hospital medians — half of reporting hospitals’ median rates fall in this window with a median of $3,352.

$2,421$5,984

Cash price (median)

$3,052

What you'd pay self-pay

Gross charge (median)

$8,067

The chargemaster sticker

vs Medicare

—

Coming with enrichment

Sourced from 38 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code: CPT 99285
Code system: CPT (Current Procedural Terminology)
Typical setting: an outpatient setting
Hospitals reporting: 38

How they price Emergency Department Visit, High Severity

Across 38 Colorado hospitals that publish a commercial negotiated rate for CPT 99285, the typical insured price for Emergency Department Visit, High Severity runs $2,421 to $5,984 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $3,352 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $3,052, against a median gross charge of $8,067.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
Bundled vs unbundled billing — the rate may or may not include radiology read, anesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

39 hospitals listed

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Choose your insurance carrier

Carriers named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Hospital	Metro	Position · Median	Your carrier's rate	Negotiated band	Cash	Payers
Family Health West Hospital Fruita Compare Metro Rest of Colorado Median negotiated $83 Your carrier's rate — 25th–75th $83 – $83 Cash — Payers 1	Rest of Colorado	$83	—	$83 – $83	—	1
Grand River Health Rifle Gross charge $2,385 Compare Metro Rest of Colorado Median negotiated $548 Your carrier's rate — 25th–75th $548 – $548 Cash $1,193 Payers 1	Rest of Colorado	$548	—	$548 – $548	$1,193	1
Boulder Community Health Foothills Hospital Gross charge $5,398 Compare Metro Boulder Median negotiated $616 Your carrier's rate — 25th–75th $276 – $3,778 Cash $2,699 Payers 32	Boulder	$616	—	$276 – $3,778	$2,699	32
Community Hospital Grand Junction Gross charge $382 Compare Metro Rest of Colorado Median negotiated $635 Your carrier's rate — 25th–75th $625 – $688 Cash $214 Payers 7	Rest of Colorado	$635	—	$625 – $688	$214	7
Lincoln Community Hospital Hugo Gross charge $2,329 Compare Metro Rest of Colorado Median negotiated $663 Your carrier's rate — 25th–75th $663 – $663 Cash $2,329 Payers 14	Rest of Colorado	$663	—	$663 – $663	$2,329	14
Valley View Hospital Glenwood Springs Gross charge $920 Compare Metro Rest of Colorado Median negotiated $670 Your carrier's rate — 25th–75th $670 – $670 Cash $782 Payers 3	Rest of Colorado	$670	—	$670 – $670	$782	3
Uchealth Estes Valley Medical Center Estes Park Gross charge $818 Compare Metro Fort Collins Median negotiated $777 Your carrier's rate — 25th–75th $577 – $793 Cash $614 Payers 15	Fort Collins	$777	—	$577 – $793	$614	15
Uchealth Parkview Medical Center Pueblo Gross charge $2,890 Compare Metro Rest of Colorado Median negotiated $1,474 Your carrier's rate — 25th–75th $747 – $3,330 Cash $1,156 Payers 12	Rest of Colorado	$1,474	—	$747 – $3,330	$1,156	12
Pikes Peak Regional Hospital Woodland Park Gross charge $2,932 Compare Metro Colorado Springs Median negotiated $2,316 Your carrier's rate — 25th–75th $1,343 – $2,492 Cash $2,346 Payers 12	Colorado Springs	$2,316	—	$1,343 – $2,492	$2,346	12
Hca Healthone Aurora Medical Center of Aurora Compare Metro Denver Metro Median negotiated $2,405 Your carrier's rate — 25th–75th $1,262 – $8,695 Cash — Payers 4	Denver Metro	$2,405	—	$1,262 – $8,695	—	4
Uchealth Greeley Hospital Gross charge $3,553 Compare Metro Rest of Colorado Median negotiated $2,469 Your carrier's rate — 25th–75th $1,660 – $3,501 Cash $2,132 Payers 12	Rest of Colorado	$2,469	—	$1,660 – $3,501	$2,132	12
Uchealth Medical Center of the Rockies Loveland Gross charge $3,553 Compare Metro Fort Collins Median negotiated $2,736 Your carrier's rate — 25th–75th $1,470 – $3,233 Cash $2,487 Payers 18	Fort Collins	$2,736	—	$1,470 – $3,233	$2,487	18
Uchealth Poudre Valley Hospital Fort Collins Gross charge $3,553 Compare Metro Fort Collins Median negotiated $2,744 Your carrier's rate — 25th–75th $1,470 – $3,233 Cash $2,487 Payers 18	Fort Collins	$2,744	—	$1,470 – $3,233	$2,487	18
Denver Health Medical Center Gross charge $8,197 Compare Metro Denver Metro Median negotiated $2,811 Your carrier's rate — 25th–75th $1,023 – $6,147 Cash $2,869 Payers 7	Denver Metro	$2,811	—	$1,023 – $6,147	$2,869	7
Uchealth Yampa Valley Medical Center Steamboat Springs Gross charge $3,509 Compare Metro Rest of Colorado Median negotiated $2,962 Your carrier's rate — 25th–75th $2,422 – $3,404 Cash $3,158 Payers 12	Rest of Colorado	$2,962	—	$2,422 – $3,404	$3,158	12
Hca Healthone Presbyterian St Luke S Medical Center Compare Metro Denver Metro Median negotiated $3,066 Your carrier's rate — 25th–75th $1,323 – $8,695 Cash — Payers 4	Denver Metro	$3,066	—	$1,323 – $8,695	—	4
Commonspirit St Mary Corwin Hospital Pueblo Gross charge $7,731 Compare Metro Rest of Colorado Median negotiated $3,092 Your carrier's rate — 25th–75th $165 – $5,953 Cash $3,092 Payers 17	Rest of Colorado	$3,092	—	$165 – $5,953	$3,092	17
Uchealth University of Colorado Hospital Aurora Gross charge $7,892 Compare Metro Denver Metro Median negotiated $3,180 Your carrier's rate — 25th–75th $1,904 – $4,641 Cash $2,762 Payers 16	Denver Metro	$3,180	—	$1,904 – $4,641	$2,762	16
Uchealth Grandview Hospital Colorado Springs Gross charge $8,721 Compare Metro Colorado Springs Median negotiated $3,331 Your carrier's rate — 25th–75th $2,051 – $4,709 Cash $3,052 Payers 13	Colorado Springs	$3,331	—	$2,051 – $4,709	$3,052	13
Uchealth Memorial Hospital Central Colorado Springs Gross charge $8,067 Compare Metro Colorado Springs Median negotiated $3,372 Your carrier's rate — 25th–75th $2,507 – $4,708 Cash $3,630 Payers 14	Colorado Springs	$3,372	—	$2,507 – $4,708	$3,630	14
Uchealth Memorial Hospital North Colorado Springs Gross charge $8,067 Compare Metro Colorado Springs Median negotiated $3,372 Your carrier's rate — 25th–75th $2,507 – $4,708 Cash $3,630 Payers 14	Colorado Springs	$3,372	—	$2,507 – $4,708	$3,630	14
Uchealth Highlands Ranch Hospital Gross charge $8,721 Compare Metro Denver Metro Median negotiated $3,488 Your carrier's rate — 25th–75th $1,784 – $4,889 Cash $2,616 Payers 12	Denver Metro	$3,488	—	$1,784 – $4,889	$2,616	12
Uchealth Longs Peak Hospital Longmont Gross charge $8,721 Compare Metro Boulder Median negotiated $3,593 Your carrier's rate — 25th–75th $1,661 – $4,555 Cash $3,052 Payers 16	Boulder	$3,593	—	$1,661 – $4,555	$3,052	16
Commonspirit St Thomas More Hospital Ca on City Gross charge $5,668 Compare Metro Rest of Colorado Median negotiated $3,854 Your carrier's rate — 25th–75th $850 – $4,818 Cash $2,267 Payers 17	Rest of Colorado	$3,854	—	$850 – $4,818	$2,267	17
Commonspirit St Elizabeth Hospital Fort Morgan Gross charge $5,731 Compare Metro Rest of Colorado Median negotiated $4,453 Your carrier's rate — 25th–75th $325 – $5,387 Cash $2,292 Payers 15	Rest of Colorado	$4,453	—	$325 – $5,387	$2,292	15
Commonspirit Mercy Hospital Durango Gross charge $8,411 Compare Metro Rest of Colorado Median negotiated $5,467 Your carrier's rate — 25th–75th $357 – $7,213 Cash $3,364 Payers 18	Rest of Colorado	$5,467	—	$357 – $7,213	$3,364	18
Commonspirit Orthocolorado Hospital Gross charge $17,564 Compare Metro Denver Metro Median negotiated $5,751 Your carrier's rate — 25th–75th $1,002 – $13,964 Cash $7,026 Payers 15	Denver Metro	$5,751	—	$1,002 – $13,964	$7,026	15
Commonspirit Longmont United Hospital Gross charge $17,564 Compare Metro Boulder Median negotiated $5,787 Your carrier's rate — 25th–75th $169 – $12,998 Cash $7,026 Payers 18	Boulder	$5,787	—	$169 – $12,998	$7,026	18
Commonspirit St Francis Hospital Gross charge $17,564 Compare Metro Colorado Springs Median negotiated $6,050 Your carrier's rate — 25th–75th $165 – $13,964 Cash $7,026 Payers 18	Colorado Springs	$6,050	—	$165 – $13,964	$7,026	18
Commonspirit St Anthony North Hospital Gross charge $17,564 Compare Metro Denver Metro Median negotiated $6,577 Your carrier's rate — 25th–75th $344 – $14,271 Cash $7,026 Payers 19	Denver Metro	$6,577	—	$344 – $14,271	$7,026	19
Commonspirit St Anthony Hospital Lakewood Gross charge $17,564 Compare Metro Denver Metro Median negotiated $7,026 Your carrier's rate — 25th–75th $4,145 – $15,061 Cash $7,026 Payers 17	Denver Metro	$7,026	—	$4,145 – $15,061	$7,026	17
Children S Hospital Colorado Colorado Springs Gross charge $14,802 Compare Metro Colorado Springs Median negotiated $7,208 Your carrier's rate — 25th–75th $5,663 – $9,473 Cash $9,621 Payers 33	Colorado Springs	$7,208	—	$5,663 – $9,473	$9,621	33
Commonspirit St Francis Hospital Interquest Gross charge $17,564 Compare Metro Colorado Springs Median negotiated $7,564 Your carrier's rate — 25th–75th $165 – $14,930 Cash $7,026 Payers 16	Colorado Springs	$7,564	—	$165 – $14,930	$7,026	16
Commonspirit St Anthony Summit Medical Center Gross charge $16,711 Compare Metro Rest of Colorado Median negotiated $10,026 Your carrier's rate — 25th–75th $1,733 – $14,183 Cash $6,684 Payers 16	Rest of Colorado	$10,026	—	$1,733 – $14,183	$6,684	16
Hca Healthone Mountain Ridge Thornton Gross charge $18,626 Compare Metro Denver Metro Median negotiated $11,921 Your carrier's rate — 25th–75th $2,831 – $13,038 Cash $18,626 Payers 15	Denver Metro	$11,921	—	$2,831 – $13,038	$18,626	15
Hca Healthone Swedish Medical Center Gross charge $18,902 Compare Metro Denver Metro Median negotiated $12,097 Your carrier's rate — 25th–75th $3,217 – $13,231 Cash $18,902 Payers 13	Denver Metro	$12,097	—	$3,217 – $13,231	$18,902	13
Hca Healthone Sky Ridge Medical Center Gross charge $23,598 Compare Metro Denver Metro Median negotiated $15,103 Your carrier's rate — 25th–75th $3,573 – $16,519 Cash $23,598 Payers 13	Denver Metro	$15,103	—	$3,573 – $16,519	$23,598	13
Hca Healthone Rose Medical Center Gross charge $24,651 Compare Metro Denver Metro Median negotiated $15,317 Your carrier's rate — 25th–75th $3,653 – $17,256 Cash $24,651 Payers 13	Denver Metro	$15,317	—	$3,653 – $17,256	$24,651	13
Prowers Medical Center Lamar Gross charge $636 Compare Metro Rest of Colorado Median negotiated — Your carrier's rate — 25th–75th — Cash $382 Payers —	Rest of Colorado	—	—	—	$382	—

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

In an emergency, go to the nearest ER — federal law protects most insured patients from out-of-network balance bills for emergency care, and Good Faith Estimates apply to scheduled care instead. Afterward: review the bill, contact your insurer, and if you're uninsured ask about financial assistance.

Know your rights under the No Surprises Act (CMS) →

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

How much does Emergency Department Visit, High Severity cost in Colorado?

Across 38 Colorado hospitals that publish a commercial negotiated rate, the median is $3,352. The middle half of hospitals fall between $2,421 and $5,984 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Emergency Department Visit, High Severity under 101 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

What's the cash price for Emergency Department Visit, High Severity if I don't have insurance?

The median discounted cash price across reporting Colorado hospitals is $3,052. Hospitals are required to publish any discounted cash price they offer self-pay patients — often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

Emergency care has its own federal protections: under the No Surprises Act, most insured patients can't be balance-billed for out-of-network emergency care — you pay your plan's in-network cost-sharing. Good Faith Estimates apply to scheduled care, not emergencies. If a bill looks wrong, contact your insurer and the hospital's billing office. If you're uninsured, ask the hospital about financial assistance — nonprofit hospitals are required to have a financial-assistance policy.

Know your rights under the No Surprises Act (CMS) →

What does CPT 99285 mean?

CPT 99285 is the CPT (Current Procedural Terminology) code for Emergency Department Visit, High Severity. It identifies the procedure for billing and price-disclosure purposes — every hospital's machine-readable file reports rates against this code.

Browse related collections

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