Emergency visit, moderate (level 3) at Davis County Hospital. CPT 99283.
What Davis County Hospital publishes for this service, straight from its standard-charges file, last updated July 24, 2026.
Outpatient / ER
$180cash price (self-pay)
$269list price
$64.65–$407range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Mcr Adv-All Plans | Aetna Mcr Adv-All Plans | $64.65 |
| Choicecare Mcr Adv | Choicecare Mcr Adv | $64.65 |
| Home State Hlth Exch - All Other Plans | Home State Hlth Exch - All Ot | $64.65 |
| Tricare-All Plans | Tricare-All Plans | $64.65 |
| Home State Hlth Mcr | Home State Hlth Mcr | $64.65 |
| Amerigroup Mcr Adv-All Other Plans | Amerigroup Mcr Adv-All Other Plan | $65.94 |
| American Hp Mcr Adv-All Plans | American Hp Mcr Adv-All Plans | $67.88 |
| Mt Carmel Hp-All Plans | Mt Carmel Hp-All Plans | $67.88 |
| Midlands Choice - All Plans | Midlands Choice - All Plans | $91.98 |
| Choicecare Comm - All Other Plans | Choicecare Comm - All Other Plans | $96.98 |
| Preferred Hlth Choices - All Plans | Preferred Hlth Choices - All Plan | $107 |
| Wellmark BCBS PPO - All Other Plans | Wellmark BCBS PPO - All Other Pl | $111 |
| Wellmark BCBS HMO | Wellmark BCBS HMO | $111 |
| Home State Hlth Mcaid | Home State Hlth Mcaid | $257 |
| Iowa Total Care Mcaid-All Plans | Iowa Total Care Mcaid-All Plans | $262 |
| Molina Mcaid-All Plans | Molina Mcaid-All Plans | $266 |
| Amerigroup Mcaid | Amerigroup Mcaid | $267 |
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