Emergency visit, moderate (level 3) at Banner Lassen Medical Center. CPT 99283.
What Banner Lassen Medical Center publishes for this service, straight from its standard-charges file, last updated September 12, 2026.
Outpatient / ER
$1,059cash price (self-pay)
$1,153list price
$55.78–$1,118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Blue Cross California | Medicare Advantage | $55.78 |
| Partnership HealthPlan of CA | Partnership Medi-Cal | $73.59 |
| Banner Health | Banner Choice Plus/Banner Select | $473 |
| United Healthcare | UHC Medicare Advantage | $473 |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $611 |
| Network Providers, LLC | California Prison Health Care Services (CPHCS | $615 |
| Imperial Health Plan of California, Inc | Medi-Medi/Medicare Advantage | $638 |
| Blue Shield of California | CalPERS PPO | $1,003 |
| Multiplan | Commercial | $1,038 |
| United Healthcare | Commercial | $1,072 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,095 |
| Coventry | Commercial | $1,107 |
| Coventry | Workers Comp | $1,107 |
| First Health | Medical Rental | $1,107 |
| Health Net | Commercial Exchange | $1,118 |
| Health Net | Medicare | $1,118 |
Inpatient
$1,059cash price (self-pay)
$1,153list price
$1,003–$1,118range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Shield of California | CalPERS PPO | $1,003 |
| Multiplan | Commercial | $1,038 |
| United Healthcare | Commercial | $1,072 |
| Cigna Healthcare & Life Insurance Company – WY | Commercial | $1,095 |
| Coventry | Commercial | $1,107 |
| Coventry | Workers Comp | $1,107 |
| First Health | Medical Rental | $1,107 |
| Health Net | Commercial Exchange | $1,118 |
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