Doctor visits and therapy CPT 99285 Outpatient

Level 5 ER visit cost in Montour Falls, NY

In Montour Falls, NY, 1 hospital lists a cash price for emergency room visit, level 5 of 5, high-complexity problem: from $260.61 to $260.61, with a median of $260.61. Across New York, the median is $773.90 at 62 hospitals.

Cash prices at 1 facility for code 99285, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 27, 2026 and Mar 27, 2026.

Lowest$260.61Schuyler Hospital
Median$260.61half pay less
Highest$260.61in this market
Difference1.0×highest vs lowest

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Schuyler Hospital Montour Falls, NY · (607) 530-7121 HC Emergency Department Level 5 Visit High Severity&Threat Func $260.61 $1,303.05 $985.00–$1,393.00 80% Mar 27, 2026
source file

Outpatient: lowest $260.61, median $260.61, highest $260.61.

Cash or insurance?

At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated and 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.

1 row held back from this comparison

It is priced below $1 or below a tenth of the national median for code 99285 ($1,499.40). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.

Schuyler Hospital Montour Falls, NYHC CAH Pro Fee Emergency Dept Visit High Severity&Threat Funcj $137.55 file