What is the typical price for Emergency Department Visit, High Severity in Colorado?

Across 38 Colorado hospitals reporting a commercial negotiated rate for CPT 99285, the 25th-to-75th percentile band runs $2,421 to $5,984 per hospital median. The 50th-percentile (Colorado median) is $3,352.

Why is the price range for Emergency Department Visit, High Severity so wide?

Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.5× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.

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 offer a self-pay rate that's 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.

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 MRF reports rates against this code.

Emergency Department Visit, High Severity

CPT 9928538 Colorado hospitals reporting

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 — half of negotiated 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.

· Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
· In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
· Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
· Bundled vs unbundled billing — the rate may or may not include radiology read, anaesthesia, 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

Pin a plan

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

Common questions

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

What is the typical price for Emergency Department Visit, High Severity in Colorado?: Across 38 Colorado hospitals reporting a commercial negotiated rate for CPT 99285, the 25th-to-75th percentile band runs $2,421 to $5,984 per hospital median. The 50th-percentile (Colorado median) is $3,352.
Why is the price range for Emergency Department Visit, High Severity so wide?: Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.5× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
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 offer a self-pay rate that's 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.
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 MRF reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.