Emergency visit, moderate (level 3) at Holy Cross Hospital. CPT 99283.
What Holy Cross Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$148cash price (self-pay)
$148list price
$44.94–$2,019range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $279 |
| Trustbridge | Trustbridge Hospice | $279 |
| Positive Healthcare Partners Medicare | Positive Health Partners Medic | $285 |
| Ryan White Florida Mssrp | Positive Health Partners Medicare Adv | $285 |
| Coventry Medicare Advantage | Coventry Medicare Advantage | $285 |
| Oscar Medicare Advantage | Oscar Medicare Advantage | $285 |
| Blue Cross - FL Medicare Advantage | BCBS Medicare Advantage | $285 |
| Catholic Hospice | Catholic Hospice | $285 |
| Vitas Healthcare Corp | Vitas Healthcare | $285 |
| Careplus Health Plans | Careplus Medicare Advantage | $286 |
| Cigna Medicare Advantage | Cigna Medicare Advantage | $288 |
| Wellcare Medicare | Wellcare Medicare Advantage | $293 |
| Healthsun Medicare Advantage | Healthsun Medicare Advantage | $293 |
| Devoted Health Medicare Advantage | Devoted Health Medicare Advantage | $299 |
| Avmed Medicare | Avmed Medicare Advantage | $299 |
| Centivo | Centivo | $613 |
| Olympus Managed Health Care | International | $974 |
| Desjardins Financial Security Life Assurance | International | $974 |
| National Healthcare Solutions | International | $974 |
| Penfield Care | International | $974 |
| Cigna | Cigna Surefit | $1,147 |
| Blue Cross - FL | BCBS Network Blue | $1,191 |
| Multiplan | Beech Street | $1,542 |
| Blue Shield - CA | BCBS Ppc | $1,634 |
| Blue Cross - CA (Anthem) | BCBS Ppc | $1,634 |
| Blue Cross - Mn | BCBS Ppc | $1,634 |
| Blue Cross - IL Alternate | BCBS Ppc | $1,634 |
| Blue Cross - Ks | BCBS Ppc | $1,634 |
| Blue Cross - Mi | BCBS Ppc | $1,634 |
| Blue Cross - In (Anthem) | BCBS Ppc | $1,634 |
Inpatient
$266cash price (self-pay)
$266list price
$44.94–$258range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Care Oregon Ohp | Medicaid | $53.87 |
| South Country Health Alliance Medicaid | Medicaid | $53.87 |
| Medicaid Advantage Generic | Medicaid | $53.87 |
| Capital District Physicians Health Medicaid Advantage | Medicaid | $53.87 |
| Connections Csp | Medicaid | $53.87 |
| Community Care Partners | Medicaid | $53.87 |
| Idaho Womens Health Check | Medicaid | $53.87 |
| Cigna Medicaid Advantage | Medicaid | $53.87 |
| Molina Medicare Advantage | Medicare | $73.49 |
| Humana Medicare Advantage | Humana Medicare Advantage | $73.49 |
| Rx Allwin | Medicare | $73.49 |
| Brand New Day Medicare Advantage | Medicare | $73.49 |
| Blue Shield - NY Highmark Western Medicare Advantage | Medicare | $73.49 |
| Wellsense Health Plan Medicare Advantage | Medicare | $73.49 |
| Moda Health Medicare Advantage | Medicare | $73.49 |
| Mclaren Health Medicare Advantage | Medicare | $73.49 |
| Union Health Service | Medicare | $73.49 |
| Mercyone Cedar Valley | Medicare | $73.49 |
| Total Healthcare Medicare Snp | Medicare | $73.49 |
| Connecticare Vip Medicare | Medicare | $73.49 |
| Pace Cny | Medicare | $73.49 |
| Pace-Trinity Health | Medicare | $73.49 |
| Serenity Pace | Medicare | $73.49 |
| Central Valley Medical Services Corp Pace | Medicare | $73.49 |
| Blue Cross - Pa (Independence) Medicare Advantage | Medicare | $73.49 |
| Huron Valley Pace | Medicare | $73.49 |
| Keystone First Chc Medicare Advantage | Medicare | $73.49 |
| Health America Advantra | Medicare | $73.49 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Medicare | $73.49 |
| Pre-Employment | BCBS PPO Trad | $91.22 |
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