Emergency visit, moderate (level 3) at Santa Rosa Medical Center. CPT 99283.
What Santa Rosa Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$606cash price (self-pay)
$4,042list price
$69.99–$5,716range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $69.99 |
| Amerigroup Medicaid | Amerigroup Medicaid FL | $126 |
| FL Community Care | FL Community Care | $133 |
| NODE Humana MCR PPO PFFS | NODE Humana MCR PPO PFFS | $266 |
| NODE Tricare | NODE Tricare | $271 |
| NODE Aetna MCR ADV | NODE Aetna MCR ADV | $281 |
| Node BCBS FL Mcr Adv | Node BCBS FL Mcr Adv | $281 |
| NODE Cigna Healthspring MCR ADV | NODE Cigna Healthspring MCR ADV | $281 |
| NODE Humana MCR HMO POS | NODE Humana MCR HMO POS | $281 |
| NODE Medicare Non Par | NODE Medicare Non Par | $281 |
| NODE Medicare Traditional | NODE Medicare Traditional | $281 |
| Node UHC Mcr Adv | Node UHC Mcr Adv | $281 |
| NODE ChampVA | NODE ChampVA | $285 |
| Hospice of NW FL | Hospice of NW FL | $285 |
| NODE United Optum VA CCN | NODE United Optum VA CCN | $285 |
| Node Va | Node Va | $285 |
| NODE Wellcare MCR ADV | NODE Wellcare MCR ADV | $295 |
| GEO Group | GEO Group | $356 |
| NODE US Dept of Labor | NODE US Dept of Labor | $356 |
| Prime Health Work Comp FL | Prime Health Work Comp FL | $585 |
| Florida Workers Compensation | FL Work Comp | $603 |
| SUNSHINE HEALTH AMBETTER MARKETPLACE | Sunshine State Health Plan Comm | $681 |
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $784 |
| Oscar | Oscar | $859 |
| Blue Cross and Blue Shield of Florida | BCBS FL BSL | $874 |
| Blue Cross and Blue Shield of Florida | BCBS FL MBN | $874 |
| Cigna | Cigna ALL | $914 |
| Blue Cross and Blue Shield of Florida | BCBS FL HMO | $925 |
| BCBS FL Sbn | BCBS FL Sbn | $925 |
| Self Pay | Self Pay | $930 |
Inpatient
$1,415cash price (self-pay)
$4,042list price
$784–$3,234range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CHS Group Health Plan UMR | CHS Group Health Plan UMR | $784 |
| Cigna | Cigna ALL | $914 |
| Self Pay | Self Pay | $930 |
| Aetna Health | Aetna INTL Passport | $2,268 |
| Prime Health Services | Prime Health | $3,234 |
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