Doctor visits and therapy CPT 99285 Inpatient — admitted to hospital

Level 5 ER visit cost in Portland, ME — inpatient

In Portland-South Portland, ME, 5 hospitals list a cash price for emergency room visit, level 5 of 5, high-complexity problem as an inpatient: from $235.30 to $778.90, with a median of $454.10. The lowest listed price is at Mercy Hospital — $218.80 less than the median here. Across Maine, the median is $587.00 at 21 hospitals.

Cash prices at 5 facilities across 4 cities for code 99285, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Sep 9, 2025 and Sep 9, 2025.

Lowest$235.30Mercy Hospital
Median$454.10half pay less
Highest$778.90in this market
Difference3.3×highest vs lowest

Where each hospital's price falls

Each dot is one hospital's cash price on a scale from the lowest to the highest in Portland-South Portland, ME.

median
Lowest $235.30Highest $3,306.00

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Mercy Hospital lowest Portland, ME PF ER VISIT HIGH SEVERE/LEVEL5 $235.30 $905.00 $588.25–$675.13 74% —
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Mercy Hospital lowest Portland, ME PF EMER DEPT VISIT HIGH SEVERE $235.30 $905.00 $588.25–$675.13 74% —
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Mercy Hospital lowest Portland, ME ER LEVEL 5 $235.30 $905.00 $588.25–$675.13 74% —
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York Hospital York, ME · (207) 351-2478 *DR WELLS LEVEL V HIGH MDM $262.80 $438.00 — 40% —
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York Hospital York, ME · (207) 351-2478 EMERGENCY ROOM VISIT LEVEL 5 $294.60 $491.00 — 40% —
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York Hospital York, ME · (207) 351-2478 ER VISIT EVAL V $327.60 $546.00 — 40% —
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York Hospital York, ME · (207) 351-2478 EMERGENCY ROOM CARE LEVEL V $379.20 $632.00 — 40% —
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MaineHealth Brunswick, ME · (207) 729-0181 PR EMERGENCY DEPARTMENT VISIT HIGH MDM $454.10 $454.10 $164.37–$353.81 — Sep 9, 2025
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MaineHealth Portland, ME · (207) 662-0111 PR EMERGENCY DEPARTMENT VISIT HIGH MDM - AMBULATORY RATE $513.30 $513.30 $164.37–$352.47 — Sep 9, 2025
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York Hospital York, ME · (207) 351-2478 *Er WELLS LEVEL V HIGH MDM $696.60 $1,161.00 — 40% —
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York Hospital York, ME · (207) 351-2478 *ER LEVEL V HIGH MDM $696.60 $1,161.00 — 40% —
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MaineHealth Biddeford, ME PR EMERGENCY DEPARTMENT VISIT HIGH MDM $778.90 $778.90 $164.37–$389.45 — Sep 9, 2025
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MaineHealth Portland, ME · (207) 662-0111 PR EMERGENCY DEPARTMENT VISIT HIGH MDM $1,002.95 $1,002.95 $164.37–$501.48 — Sep 9, 2025
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MaineHealth Biddeford, ME HC EMERGENCY FACILITY LEV 5 $1,507.60 $1,507.60 $1,108.99–$1,417.14 — Sep 9, 2025
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MaineHealth Portland, ME · (207) 662-0111 HC EMERGENCY FACILITY LEV 5 $2,545.15 $2,545.15 $1,872.21–$2,392.44 — Sep 9, 2025
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MaineHealth Brunswick, ME · (207) 729-0181 HC EMERGENCY FACILITY LEV 5 $3,306.00 $3,306.00 $2,334.04–$3,120.86 — Sep 9, 2025
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Inpatient: lowest $235.30, median $454.10, highest $778.90 — a 3.3× difference within the same market.

As an outpatient, the same code is billed by 6 facilities here, median $483.70 — that is the price to compare if you are not being admitted.

Cash or insurance?

At 1 of 4 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.

What it is

This is the highest of five emergency department visit levels, used for a serious problem that needs complex evaluation and treatment, often with a hospital admission or transfer. The level is assigned after the visit: doctors pick it by the complexity of their medical decision making, and hospitals pick the facility level by the care and resources used, so a patient cannot choose it in advance.

What the price covers

The hospital price for this code is the facility fee for the ER visit. The emergency physician bills separately, and lab tests, imaging, medicines and procedures are added on top.