Emergency visit, moderate (level 3) at Banner Ocotillo Medical Center. CPT 99283.
What Banner Ocotillo Medical Center publishes for this service, straight from its standard-charges file, last updated September 24, 2026.
Outpatient / ER
$1,087cash price (self-pay)
$1,835list price
$138–$2,503range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Arizona Physicians IPA | Medicaid | $138 |
| Banner University Health Plan | AZ Medicaid - AHCCCS | $138 |
| Health Net | Medicaid | $138 |
| Mercy Care | Mercy Medicaid | $138 |
| Health Choice Arizona, Inc. | Medicaid | $207 |
| Banner Health | Medicare Advantage | $291 |
| Aetna | Medicare Advantage | $291 |
| Arizona Physicians IPA | Medicare Advantage | $291 |
| Banner University Health Plan | University Care Advantage | $291 |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $291 |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plans | $291 |
| Cigna Healthcare of Arizona, Inc. | PPO Medicare Advantage Plan | $291 |
| Gila River Health Care Corporation | Managed Care Program | $291 |
| Health Choice Arizona, Inc. | Medicare Advantage | $291 |
| Health Net | Medicare | $291 |
| Kaiser Foundation Health Plan | Medicare Advantage | $291 |
| Mercy Care | Mercy Care Advantage | $291 |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $291 |
| Humana | Medicare Advantage | $300 |
| Carekin | Medicare Advantage | $306 |
| Devoted Health Services | Medicare Advantage | $306 |
| Gold Kidney Health Plan | Medicare Advantage | $320 |
| Health Choice Arizona, Inc. | ACA Health Plan | $437 |
| Health Net | Commerical Exchange Product | $440 |
| Oscar Health Plan | Commercial | $481 |
| Plotkin Health | Plotkin Health | $826 |
| Aetna | Medical Rental | $941 |
| Aetna | Banner Employee Plans | $979 |
| Quiktrip Corporation | Commercial | $982 |
| Arizona Medical Network | Commercial | $1,180 |
Inpatient
$1,087cash price (self-pay)
$1,835list price
$826–$1,376range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Plotkin Health | Plotkin Health | $826 |
| Aetna | Medical Rental | $941 |
| Quiktrip Corporation | Commercial | $982 |
| Provider Network of America | Commercial | $1,376 |
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