Emergency visit, moderate (level 3) at Saint Marys Hospital. CPT 99283.
What Saint Marys Hospital 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–$3,100range 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 |
| 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 |
| Centivo | Centivo | $655 |
| Claimdoc | Claimdoc | $687 |
| Innovative Health Plan II | Innovative Health Plan | $687 |
| Diversified Administrators | Claimdoc | $687 |
| Blue Cross - Ia (Wellmark) | Anthem | $971 |
| Blue Cross - IL | Anthem | $971 |
| Blue Cross - Me (Anthem) | Anthem | $971 |
| Blue Cross - Ky (Anthem) | Anthem | $971 |
| Blue Cross - Nm | Anthem | $971 |
| Blue Cross - Nv (Anthem) | Anthem | $971 |
| Blue Cross - NY (Excellus) | Anthem | $971 |
| Blue Shield - NY Highmark Western | Anthem | $971 |
| Blue Distinction Transplant | Anthem | $971 |
| Blue Benefit Administrators Of Massachusetts | Anthem | $971 |
| Wellpoint | Wellpoint | $971 |
| Kaiser Domestic | Anthem | $971 |
| Blue Cross - Ks | Anthem | $971 |
| Blue Cross - Ms | Anthem | $971 |
| Blue Cross - Mt | Anthem | $971 |
| Blue Cross - Md (Carefirst) | Anthem | $971 |
| Health Choices | Anthem | $971 |
| Blue Cross - Co (Anthem) | Anthem | $971 |
| Blue Cross - Wy | Anthem | $971 |
Inpatient
$273cash price (self-pay)
$273list price
$36.78–$273range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Bcccp-Michigan | Medicaid | $36.78 |
| Id County Canyon | Medicaid | $36.78 |
| Id County Cat Fund | Medicaid | $36.78 |
| Bccp | Medicaid | $36.78 |
| Nascentia Health Options | Medicaid | $36.78 |
| Childrens Medical Center Health Plan Managed Medicaid | Medicaid | $36.78 |
| Simply Healthcare Medicaid | Medicaid | $36.78 |
| Blue Cross - De (Highmark) Medicaid Advantage | Medicaid | $36.78 |
| Superior Health | Medicaid | $36.78 |
| Emblem Health Medicaid | Medicaid | $36.78 |
| Healthfirst Medicaid Advantage | Medicaid | $36.78 |
| Fidelis Care Medicaid Advantage | Medicaid | $36.78 |
| Rx Allwin | Medicare | $71.22 |
| Molina Medicare Advantage | Medicare | $71.22 |
| Medicare Advantage Generic | Medicare | $71.22 |
| Capital District Physicians Health Plan Medicare Advantage | Medicare | $71.22 |
| Pace-Trinity Health | Medicare | $71.22 |
| Serenity Pace | Medicare | $71.22 |
| Fresno Pace Medicare | Medicare | $71.22 |
| Innovative Integrated Health Community Plans | Medicare | $71.22 |
| Amerihealth Medicare | Medicare | $71.22 |
| Php Medicare | Medicare | $71.22 |
| Solis Health Plans | Medicare | $71.22 |
| Health Partners Medicare Advantage | Medicare | $71.22 |
| Secure Horizons MA Pffs | Medicare | $71.22 |
| Global Medicare Advantage | Medicare | $71.22 |
| Presbyterian Senior Plan | Medicare | $71.22 |
| Priority Health Medicare Advantage | Medicare | $71.22 |
| Mvp Medicare Advantage | Medicare | $71.22 |
| Cca Senior Care Options | Cca Medicare Advantage | $74.21 |
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