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Emergency Department Visit, Level 5 (Highest)

Louisiana rates for HCPCS 99285

An emergency department visit involving a patient history and physical examination, with high-complexity medical decision-making. This is the highest of the five visit levels, one step above the moderate-complexity level. The extent of the history and examination is whatever is medically appropriate.

Rates data updated July 2026.

How much does Emergency Department Visit, Level 5 (Highest) cost?

$635

Typical total for the visit. In Louisiana, July 2026.

Insurers have agreed to pay about $635 for this emergency department visit. That total is two separate charges billed under the same code: $178 to the emergency physician who treats you, and $457 to the hospital for the emergency department itself. Tests, imaging and treatments during the visit are billed separately.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe emergency physician who treats you$178$148 to $479
Facility feeThe hospital emergency department$457$457 to $741

How much rates vary

Facilitymedian $457 · 10th to 90th $170 to $2,630Professionalmedian $178 · 10th to 90th $129 to $1,023
$20.0$100.0$500.0$2.0Kfacility $457professional $178

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$177.83
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$162.18
Median
$549.54
Typical High
$1,202.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$199.53
Typical High
$446.68
Ambetter
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$151.36
Median
$173.78
Typical High
$446.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$2,137.96
Typical High
$2,691.53
BCBS
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$229.09
Typical High
$245.47
Christus
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$457.09
Typical High
$457.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$870.96
Typical High
$4,570.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$194.98
Typical High
$446.68
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$177.83
Typical High
$281.84
United
Setting
Professional
Modifier
25 · Same-day visit
Typical Low
$89.13
Median
$234.42
Typical High
$371.54

Where Louisiana sits

The same service costs 18.8 times more in Vermont than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeLouisiana $635 · 11th of 43
VT $5,557NH $295

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.