Emergency visit, moderate (level 3) at Johnson Memorial Hospital. CPT 99283.
What Johnson Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$182cash price (self-pay)
$1,439list price
$36.78–$6,550range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $321 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $321 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $321 |
| Medigold Medicare Advantage | Mount Carmel Health Plan Medicare Adv | $321 |
| Blue Cross - Ct (Anthem) Medicare Advantage | Anthem Mediblue Medicare | $321 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $324 |
| Fallon Health Medicare Advantage | Fallon Medicare Advantage | $327 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $327 |
| Cca Senior Care Options | Commonwealth Care Alliance Medicare Adv | $327 |
| Wellcare Medicare | Wellcare Medicare Advantage | $327 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $330 |
| Prime Health Services Medicare Advantage | Prime Health Medicare Advan | $334 |
| Fallon Health Medicare Advantage | Fallon Navicare Medicare Advantage | $337 |
| Fallon Health | Fallon Community Health Plan | $425 |
| Claimdoc | Claimdoc | $687 |
| Innovative Health Plan II | Innovative Health Plan | $687 |
| Centivo | Centivo | $762 |
| Health New England | Health New England | $921 |
| Multiplan | Multiplan | $1,176 |
| Blue Shield - Id (Regence) | Anthem | $2,158 |
| Blue Cross - Ga (Anthem) | Anthem | $2,158 |
| Blue Cross - De (Highmark) | Anthem | $2,158 |
| Blue Cross - Dc (Carefirst) | Anthem | $2,158 |
| Blue Cross - FL | Anthem | $2,158 |
| Blue Cross - Mt | Anthem | $2,158 |
| Blue Cross - Nv (Anthem) | Anthem | $2,158 |
| Bcn Domestic | Anthem | $2,158 |
| Health Choices | Anthem | $2,158 |
| Blue Cross - Md (Carefirst) | Anthem | $2,158 |
| Blue Cross Domestic | Anthem | $2,158 |
Inpatient
$273cash price (self-pay)
$273list price
$33.10–$273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Care Connections Of Northern Iowa | Medicaid | $33.10 |
| Upmc Medicaid Advantage | Medicaid | $33.10 |
| Health Plus Phsp Medicaid Adv | Medicaid | $33.10 |
| Pacificsource Health Plans Medicaid Advantage | Medicaid | $33.10 |
| Fallon Health Medicaid Advantage | Medicaid | $33.10 |
| Delaware County Department Of Health | Medicaid | $33.10 |
| Rx Allwin | Medicare | $60.53 |
| Molina Medicare Advantage | Medicare | $60.53 |
| Network Medicare Advantage | Medicare | $60.53 |
| Upper Peninsula Health Plan (Uphp) Medicare | Medicare | $60.53 |
| Osu Prime Care Advantage | Medicare | $60.53 |
| Meridian Complete | Medicare | $60.53 |
| Peak Pace Solutions | Medicare | $60.53 |
| Ucare Medicare | Medicare | $60.53 |
| Blue Cross - Mn Medicare Advantage | Medicare | $60.53 |
| Blue Cross - IL Medicare Advantage | Medicare | $60.53 |
| Medicare | Medicare | $60.53 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $60.53 |
| Allwell Medicare Advantage | Medicare | $60.53 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $60.53 |
| American Health Advantage Of Idaho | Medicare | $60.53 |
| Thome Pace | Medicare | $60.53 |
| Sunnyview-Pace Finance Dept | Medicare | $60.53 |
| Eddy Senior Care-Pace | Medicare | $60.53 |
| Evercare | Medicare | $60.53 |
| Georgia Health Advantage | Medicare | $60.53 |
| Oscar Medicare Advantage | Medicare | $60.53 |
| Ally Align Care Adv | Medicare | $60.53 |
| Solis Health Plans | Medicare | $60.53 |
| Commonwealth Care Alliance Medicaid | Cca Comm/Medicaid | $64.36 |
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