Emergency visit, moderate (level 3) at Memorial Hospital and Manor. CPT 99283.
What Memorial Hospital and Manor publishes for this service, straight from its standard-charges file, last updated May 1, 2026.
Outpatient / ER
$469cash price (self-pay)
$670list price
$222–$881range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Tricare_plan | Medicare | $222 |
| Aetna_medicare_plan | Medicare | $239 |
| Humana_medicare_plan | Medicare | $239 |
| Medicare_plan | Medicare | $239 |
| Uhc_medicare_plan | Medicare | $239 |
| Wellcare_plan | Medicare | $239 |
| Ambetter_plan | Medicare | $310 |
| Alliant_plan | Medicare | $382 |
| Amerigroup_plan | Medicaid | $422 |
| Medicaid__plan | Medicaid | $422 |
| Peach_state_health_plan_plan | Medicaid | $422 |
| Caresource_plan | Medicaid | $443 |
| Tnga_plan | Commercial | $450 |
| Humana_commercial_plan | Commercial | $523 |
| Aetna_plan | Commercial | $529 |
| Uhc_plan | Commercial | $529 |
| Humana_choice_care_plan | Commercial | $536 |
| Novanet_plan | Commercial | $536 |
| Cigna_plan | Commercial | $556 |
| Private_healthcare_systems_plan | Commercial | $570 |
| Aetna_medical_rental_plan | Commercial | $603 |
| Multiplan_plan | Commercial | $603 |
| Corvel_plan | Commercial | $637 |
| Anthem_plan | Commercial | $881 |
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