Emergency visit, moderate (level 3) at BSA Hospital. CPT 99283.
What BSA Hospital publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$218cash price (self-pay)
$2,180list price
$51.36–$1,853range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| First Care Commercial [1371] | Firstcare HMO [137103] | $676 |
| United Healthcare [2060] | United Healthcare Core Exclusive [206022] | $933 |
| Oncology Patient Assistance Programs [2295] | Bccs Family Circle Of CA | $1,025 |
| Healthcare Highways [2210] | Hch 90 Degree Benefits [221013] | $1,025 |
| Healthcare Highways [2210] | Hch Broken Arrow [221012] | $1,025 |
| Healthcare Highways [2210] | Hch John Soules Foods [221011] | $1,025 |
| Horizon Nj Health [3635] | Horizon Nj Health [363500] | $1,025 |
| Group Pension Admin [1450] | Gpa Imagine Health [145009] | $1,090 |
| Texas Rehabilitation [1970] | Texas Workforce Commission [197000] | $1,243 |
| Nreca [1735] | Nreca [173500] | $1,336 |
| United Healthcare [2060] | UHC Surest Bind [206032] | $1,336 |
| Pan American Life Insurance Co [1770] | Pan American Life [177000] | $1,526 |
| Phcs [1780] | Phcs Multiplan [178000] | $1,526 |
| Phcs [1780] | Freedom Life [178009] | $1,526 |
| Rh Administrators [1885] | Rh Administrators [188500] | $1,526 |
| Northamerica Administrators [1725] | Northamerica Administrators [1725 | $1,526 |
| Principal Mutual Life [1845] | Principal Colorado Claims [184500] | $1,526 |
| Phoenix Home Life [1785] | Phoenix Home Life [178500] | $1,526 |
| Americas Choice Health Plans [1090] | Americas Choice Health Plans [10 | $1,526 |
| Comcar Industries [1280] | Comcar Industries [128000] | $1,526 |
| Mega Life And Health [1650] | Mega Life Heatlh [165001] | $1,526 |
| Celtic Life [1220] | Celtic Life [122000] | $1,526 |
| Alieracare [2935] | Trinity Healthshare [293500] | $1,526 |
| Administrative Concepts [1005] | Administrative Concepts [100500] | $1,526 |
| Cbsa [1215] | Cbsa [121500] | $1,526 |
| National Association Of Letter Carriers [1695] | Nalc [169500] | $1,583 |
| Healthpartners [1500] | Healthpartners [150000] | $1,583 |
| United Healthcare [2060] | United Healthcare Shared Svcs [206010] | $1,585 |
| Meritain Health [1655] | Meritain Health [165500] | $1,635 |
| Reserve National [1880] | Reserve National [188000] | $1,635 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.