Emergency visit, moderate (level 3) at St Helena Hospital. CPT 99283.
What St Helena Hospital publishes for this service, straight from its standard-charges file, last updated July 15, 2026.
Outpatient / ER
$38.85cash price (self-pay)
$259list price
$35.12–$3,210range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medi-Cal | Medi-Cal | $35.12 |
| Va Medi-Cal | Va Medi-Cal | $63.97 |
| Blue Shield Mcr Adv | Blue Shield Mcr Adv | $72.53 |
| Kaiser Mcr Adv | Kaiser Mcr Adv | $72.53 |
| Blue Shield Bh Mcr Adv | Blue Shield Bh Mcr Adv | $72.53 |
| Tricare Blue Shield | Tricare Blue Shield | $72.53 |
| Cigna-All Other Plans | Cigna-All Other Plans | $78.05 |
| Ah Employee Health Plan - All Plans | Ah Employee Health Plan - All Pl | $79.78 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $83.81 |
| UHC Jll | UHC Jll | $83.81 |
| UHC Select/Select Plus | UHC Select/Select Plus | $83.81 |
| UHC Options PPO | UHC Options PPO | $83.81 |
| Interplan-All Plans | Interplan-All Plans | $87.04 |
| Kaiser-All Other Plans | Kaiser-All Other Plans | $87.04 |
| Aetna-All Plans | Aetna-All Plans | $93.85 |
| Western Growers-All Plans | Western Growers-All Plans | $104 |
| Blue Shield Epn-All Other Plans | Blue Shield Epn-All Other Plans | $104 |
| Blue Shield Non-Epn | Blue Shield Non-Epn | $110 |
| Blue Cross Mcs - All Other Plans | Blue Cross Mcs - All Other Plans | $124 |
| Blue Cross Non Mcs | Blue Cross Non Mcs | $124 |
| Phcs-All Plans | Phcs-All Plans | $142 |
| Health Management Network-All Plans | Health Management Network-All Pl | $220 |
| Three Rivers-All Plans | Three Rivers-All Plans | $233 |
| UHC Mcr Adv | UHC Mcr Adv | $363 |
| Va Mcr - All Other Plans | Va Mcr - All Other Plans | $363 |
| Blue Shield Behav Hlth | Blue Shield Behav Hlth | $1,605 |
| Blue Cross Exchange | Blue Cross Exchange | $1,649 |
| Healthnet-All Plans | Healthnet-All Plans | $2,187 |
| Umr UHC PPO | Umr UHC PPO | $2,270 |
| Choicecare-All Plans | Choicecare-All Plans | $2,497 |
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