Doctor visits and therapy CPT 99285 Outpatient

Level 5 ER visit cost in Waterbury, CT

In Waterbury, CT, 2 hospitals list a cash price for emergency room visit, level 5 of 5, high-complexity problem: from $367.00 to $1,610.98, with a median of $988.99. The lowest listed price is at Saint Marys Hospital — $621.99 less than the median here. Across Connecticut, the median is $735.00 at 12 hospitals.

Cash prices at 2 facilities 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 31, 2026 and May 13, 2026.

Lowest$367.00Saint Marys Hospital
Median$988.99half pay less
Highest$1,610.98in this market
Difference4.4×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 Waterbury, CT.

median
Lowest $367.00Highest $2,614.34

Hospitals, cheapest first

HospitalCash price List priceInsurers payOff listFile date
Saint Marys Hospital lowest Waterbury, CT · (203) 709-6020 PR Emergency Dept Visit High $367.00 $367.00 $99.99–$367.00 — Mar 31, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC ED Type a Level 5 Sane_Safe $1,203.95 $2,189.00 $440.00–$3,100.00 45% Mar 31, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC ED Type a Level 5 $1,240.25 $2,255.00 $440.00–$3,100.00 45% Mar 31, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC ED Type a Level 5 OB Triage Sane_Safe $1,240.25 $2,255.00 $440.00–$3,100.00 45% Mar 31, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC ED Type a Level 5 OB Triage $1,240.25 $2,255.00 $440.00–$3,100.00 45% Mar 31, 2026
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UConn Health, Waterbury Hospital Waterbury, CT · (203) 573-6000 99285 - Level 5 $1,610.98 $3,221.95 $1,602.00–$3,226.00 50% May 13, 2026
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UConn Health, Waterbury Hospital Waterbury, CT · (203) 573-6000 99285 - Level V $1,610.98 $3,221.95 $1,602.00–$3,226.00 50% May 13, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC Partial Trauma W/O Pre Notification Critical Care - Downgrade $2,324.30 $4,226.00 $440.00–$4,226.00 45% Mar 31, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC Trauma Evaluation W/O Pre Notification Critical Care - Downgrade $2,324.30 $4,226.00 $440.00–$4,226.00 45% Mar 31, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC Critical Care 30-74 Minutes - Downgrade $2,324.30 $4,226.00 $440.00–$4,226.00 45% Mar 31, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC Full Trauma W/O Pre Notification Critical Care - Downgrade $2,324.30 $4,226.00 $440.00–$4,226.00 45% Mar 31, 2026
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Saint Marys Hospital Waterbury, CT · (203) 709-6020 HC ED Type a Level 5 $2,614.34 — $440.00–$3,100.00 — Mar 31, 2026
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Outpatient: lowest $367.00, median $988.99, highest $1,610.98 — a 4.4× difference within the same market.

As an inpatient, the same code is billed by 2 facilities here, median $1,081.49. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.

Cash or insurance?

At 1 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at none is it 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.