Emergency visit, moderate (level 3) at Dorminy Medical Center. CPT 99283.
What Dorminy Medical Center publishes for this service, straight from its standard-charges file, last updated May 6, 2026.
Outpatient / ER
$564cash price (self-pay)
$1,128list price
$238–$1,156range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Advantage | $238 |
| Humana Medicare Advantage | Advantage | $238 |
| Anthem Blue Cross Medicare Advantage | Advantage | $238 |
| United HealthCare Medicare Advantage | Advantage | $238 |
| HealthSmart | All Commercial Plans | $846 |
| Aetna Commercial | PPO/HMO | $902 |
| Provider Network of America | All Commercial Plans | $958 |
| Principal Edge Network | All Commercial Plans | $981 |
| United HealthCare Commercial | PPO/HMO | $981 |
| Cigna Commercial | PPO/HMO | $992 |
| Humana ChoiceCare | All Commercial Plans | $992 |
| Novanet | All Commercial Plans | $1,015 |
| Unicare | All Commercial Plans | $1,015 |
| PHCS | All Commercial Plans | $1,015 |
| MultiPlan | PPO/HMO | $1,015 |
| Three Rivers Provider Network | All Commercial Plans | $1,071 |
| Anthem BCBS PPO | PPO | $1,156 |
Inpatient
$564cash price (self-pay)
$1,128list price
$846–$1,071range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| HealthSmart | All Commercial Plans | $846 |
| Aetna Commercial | PPO/HMO | $902 |
| Provider Network of America | All Commercial Plans | $958 |
| Principal Edge Network | All Commercial Plans | $981 |
| United HealthCare Commercial | PPO/HMO | $981 |
| Cigna Commercial | PPO/HMO | $992 |
| Humana ChoiceCare | All Commercial Plans | $992 |
| Novanet | All Commercial Plans | $1,015 |
| Unicare | All Commercial Plans | $1,015 |
| PHCS | All Commercial Plans | $1,015 |
| MultiPlan | PPO/HMO | $1,015 |
| Three Rivers Provider Network | All Commercial Plans | $1,071 |
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