Emergency Department Visit with High Level of Medical Decision Making Cost in Connecticut
What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 15 Connecticut hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.
Hospital comparison — Connecticut
Sorted by cash price (lowest first). Showing top 15 of 15 hospitals.
| Hospital | Cash | Aetna | Cigna | UHC | Centene | BCBS | MultiPlan | Medicare | TRICARE |
|---|---|---|---|---|---|---|---|---|---|
| ST FRANCIS HOSPITAL AND MEDICAL CENTER HARTFORD |
$552 | — | — | — | — | — | — | — | — |
| JOHNSON MEMORIAL HOSPITAL STAFFORD SPRINGS |
$552 | — | — | — | — | — | — | — | — |
| SAINT MARYS HOSPITAL WATERBURY |
$552 | — | — | — | — | — | — | — | — |
| LAWRENCE + MEMORIAL HOSPITAL NEW LONDON |
$606 | $244 | $889 | $199 | — | — | $1,499 | $313 | $179 |
| BRIDGEPORT HOSPITAL BRIDGEPORT |
$616 | $368 | $368 | $368 | — | — | $368 | $368 | $368 |
| GREENWICH HOSPITAL GREENWICH |
$876 | $268 | $663 | $277 | — | — | $1,095 | $283 | $825 |
| HSS STAMFORD STAMFORD |
$1,211 | $412 | $337 | $193 | $145 | — | — | — | — |
| YALE-NEW HAVEN HOSPITAL NEW HAVEN |
$1,559 | $512 | $1,718 | $479 | — | — | — | $474 | $445 |
| WATERBURY HOSPITAL WATERBURY |
$1,611 | $186 | $1,602 | $3,053 | — | — | — | — | — |
| CONNECTICUT CHILDRENS MEDICAL CENTER HARTFORD |
$1,733 | — | — | — | — | — | — | — | — |
| NORWALK HOSPITAL NORWALK |
$1,882 | $718 | $735 | — | $728 | $318 | — | — | — |
| SHARON HOSPITAL PO BOX 789 |
$1,918 | $714 | — | — | — | $596 | — | — | — |
| BRISTOL HOSPITAL BRISTOL |
$1,994 | $177 | $2,675 | $177 | $177 | — | $2,936 | — | — |
| DANBURY HOSPITAL DANBURY |
$2,145 | $718 | $735 | — | $728 | $319 | — | — | — |
| NEW MILFORD HOSPITAL NEW MILFORD |
$2,145 | $718 | $735 | — | $728 | $319 | — | — | — |
That is the median of what the 15 Connecticut hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.
Build my dispute letter — freeNo account, no signup. Your bill never leaves your browser.
Medicare reimbursement benchmark
For CPT 99285 in Connecticut, Medicare reimburses about $179 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Connecticut range from $552 to $2,145 — that means hospital cash prices are typically 8.7x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.
Frequently asked questions
- How much does emergency department visit with high level of medical decision making cost in Connecticut?
- Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Connecticut range from $552 to $2,145, with a median of $1,559. Prices vary widely by hospital.
- Where can I find the cheapest emergency department visit with high level of medical decision making in Connecticut?
- The cheapest Connecticut hospital published cash price for this procedure is $552. Use the table above sorted by cash price to find the lowest-priced facility near you.
- Are these the prices I'll pay?
- These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
- Why do prices vary so much between hospitals?
- Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
- Where does this data come from?
- Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.