Emergency visit, moderate (level 3) at Dodge County Hospital Authority. CPT 99283.
What Dodge County Hospital Authority publishes for this service, straight from its standard-charges file, last updated May 14, 2026.
Outpatient / ER
—cash price (self-pay)
$671list price
$88.68–$1,620range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State Medicaid | HMO | $104 |
| Amerigroup Medicaid | PPO | $110 |
| Aetna Medicare Advantage | HMO | $238 |
| UHC Medicare Advantage | HMO | $238 |
| Humana Medicare PPO | PPO | $238 |
| Aetna | PPO | $503 |
| Cigna | PPO | $604 |
| BCBS PPO/Par | PPO | $697 |
| BCBS Pathway/HMO | HMO | $754 |
| UHC Commercial | PPO | $1,620 |
Inpatient
—cash price (self-pay)
$671list price
$1.00–$411range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | PPO | $1.00 |
| UHC Commercial | PPO | $1.00 |
| Peach State Medicaid | HMO | $1.00 |
| BCBS PPO/Par | PPO | $278 |
| Amerigroup Medicaid | PPO | $358 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.