Emergency visit, moderate (level 3) at Saint Francis Hospital and Medical Center. CPT 99283.
What Saint Francis Hospital and Medical Center publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$148cash price (self-pay)
$148list price
$36.78–$5,748range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $321 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $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 |
| Commonwealth Care Alliance Medicare | Commonwealth Care Alliance Medic | $327 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $330 |
| Wellcare Medicare | Wellcare Medicare Advantage | $334 |
| Fallon Health Medicare Advantage | Fallon Navicare Medicare Advantage | $337 |
| Fallon Health | Fallon Community Health Plan | $425 |
| Centivo | Centivo | $655 |
| Innovative Health Plan II | Innovative Health Plan | $687 |
| Blue Shield - CA | Anthem | $1,137 |
| Blue Cross - Hi | Anthem | $1,137 |
| Blue Cross - FL | Anthem | $1,137 |
| Blue Cross - De (Highmark) | Anthem | $1,137 |
| Blue Cross - Dc (Carefirst) | Anthem | $1,137 |
| Blue Cross - Md (Carefirst) | Anthem | $1,137 |
| Blue Cross - Ky (Anthem) | Anthem | $1,137 |
| Blue Cross - La | Anthem | $1,137 |
| Blue Cross - Id | Anthem | $1,137 |
| Blue Shield - Id (Regence) | Anthem | $1,137 |
| Blue Cross Domestic | Anthem | $1,137 |
| Bcn Domestic | Anthem | $1,137 |
| Blue Cross - Ga (Anthem) | Anthem | $1,137 |
| Blue Cross - Mt | Anthem | $1,137 |
| Blue Care Network | Anthem | $1,137 |
| Health Choices | Anthem | $1,137 |
| Health New England | Health New England | $1,178 |
| Connecticare | Connecticare Cbi | $2,198 |
Inpatient
$273cash price (self-pay)
$273list price
$36.78–$273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| County Coroner | Medicaid | $36.78 |
| Triwest Health Alliance | Tricare | $68.63 |
| Molina Medicare Advantage | Medicare | $71.22 |
| Rx Allwin | Medicare | $71.22 |
| Careplus Health Plans | Medicare | $71.22 |
| Fidelis Medicare | Medicare | $71.22 |
| Avmed Medicare | Medicare | $71.22 |
| Wc Benetech | Workers Comp | $104 |
| Wc Genex Care For Ohio | Workers Comp | $104 |
| Wc Health Management | Workers Comp | $104 |
| Wc Fed Ex | Workers Comp | $104 |
| Wc General Motors | Workers Comp | $104 |
| Wc Meijers | Workers Comp | $104 |
| Wc Srs | Workers Comp | $104 |
| Wc Meadowbrook Claim | Workers Comp | $104 |
| Wc Notre Dame | Workers Comp | $104 |
| Wc Mdia | Workers Comp | $104 |
| Wc Amerisure | Workers Comp | $104 |
| Wc Cna | Workers Comp | $104 |
| Wc Guard Insurance Company | Workers Comp | $104 |
| Wc North American Rishces | Workers Comp | $104 |
| Wc Chartis | Workers Comp | $104 |
| Wc Asu Risk Mgt | Workers Comp | $104 |
| Wc York Risk | Workers Comp | $104 |
| Wc Guarantee Insurance | Workers Comp | $104 |
| Wc Federal Black Lung | Workers Comp | $104 |
| Wc Mitchell Frankenmuth | Workers Comp | $104 |
| Wc Acs Federal Employees | Workers Comp | $104 |
| Wc Michigan | Workers Comp | $104 |
| Wc Intercare Insurance | Workers Comp | $104 |
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All common services at Saint Francis Hospital and Medical Center