Fee-for-service rateAs of June 2026
Hawaii Medicaid rate for CPT 99285
Emergency department visit, high severity with threat to function
Med-QUEST pays $166.55 for CPT 99285 in its June 2026 fee-for-service schedule: the 9th-highest of 42 state Medicaid programs, at 120% of the $138.69 median.
- Non-facility rate
- $166.55
- Rank
- 9 of 42
- vs. state median
- 120%
- vs. HI Medicare
- 99%
What Med-QUEST publishes for 99285
9th-highest of 42 · 120% of median
9th-highest of 42 · 120% of median
- Schedule
- June 2026
Unmodified non-facility fee-for-service rate from the state's published file. Managed-care contracts, supplemental payments, and claim-specific adjustments can change what is paid. Med-QUEST Fee Schedules
99285 in every state
Map and ranking of every state program that prices 99285.
Compare 99285 across states99285 under Medicare
Medicare's 2026 non-facility payment for 99285 in Hawaii is $167.57; Med-QUEST's rate is 99% of that. The national amount before geographic adjustment is $171.347.
See 99285 Medicare ratesSee Hawaii's full schedule: all 11,587 codes, every published period, and commercial payer rates for 99285.
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