Emergency visit, moderate (level 3) at Wayne Memorial Hospital. CPT 99283.
What Wayne Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 24, 2026.
Outpatient / ER
$647cash price (self-pay)
$1,293list price
$866–$3,228range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA Healthgram City Employee | Contract | $866 |
| AETNA | Commercial | $948 |
| First Health | Commercial | $970 |
| HUMANA ChoiceCare | Commercial | $1,034 |
| United Healthcare | Commercial | $1,086 |
| PHCS | Commercial | $1,164 |
| Super Med | Commercial | $1,164 |
| Blue Cross PAR PPO | PPO | $3,228 |
| Blue Cross Open Access HMO | HMO | $3,228 |
Inpatient
$647cash price (self-pay)
$1,293list price
$866–$1,164range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| CIGNA Healthgram City Employee | Contract | $866 |
| AETNA | Commercial | $948 |
| First Health | Commercial | $970 |
| CIGNA | Commercial | $985 |
| HUMANA ChoiceCare | Commercial | $1,034 |
| United Healthcare | Commercial | $1,086 |
| PHCS | Commercial | $1,164 |
| Super Med | Commercial | $1,164 |
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