Emergency visit, moderate (level 3) at Fairview Park Hospital. CPT 99283.
What Fairview Park Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,035cash price (self-pay)
$2,035list price
$165–$3,383range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Peach State | MGMCD | $165 |
| Wellcare | MCD | $165 |
| Amerigroup | MCD | $250 |
| Aetna Better Health of Georgia | MCD | $320 |
| Memorial Health Plan | EMPLOYEEPLAN | $448 |
| United | OptionsPPO | $503 |
| Leavitt Risk Partners | COMM | $611 |
| Peach State (Ambetter) | HIX | $614 |
| Memorial Health Plan | HEALTHGRAM | $692 |
| Prime Health | WORKERSCOMP | $696 |
| Employer's Health Network | WCOMP | $711 |
| Rockport United Network | WORKERSCOMP | $711 |
| Identity MCO | WorkersComp | $725 |
| Synergy Health Network | WorkersComp | $725 |
| Memorial Health Plan | COMM | $753 |
| United | GlobalBenefitPlan | $916 |
| Dodge County Hospital | COMM | $1,018 |
| Aetna | NAP | $1,122 |
| Memorial Health Plan | CORECOMMUNITYCARE | $1,331 |
| Memorial Health Plan | COASTALHEALTHPLAN | $1,344 |
| Health One Alliance | COMMHIX | $1,440 |
| Friday Health | HIX | $1,535 |
| American Steel Products | COMM | $1,730 |
| MultiPlan | Complementary | $1,832 |
| MultiPlan | Primary | $1,832 |
| NovaNet | COMM | $1,832 |
| Cigna | LocalPlus | $2,598 |
| Cigna | HMO | $2,676 |
| Cigna | OAP | $2,676 |
| Cigna | PPO | $2,676 |
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