Emergency visit, moderate (level 3) at Gundersen Palmer Lutheran Hospital and Clinic. CPT 99283.
What Gundersen Palmer Lutheran Hospital and Clinic publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$347cash price (self-pay)
$585list price
$247–$585range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Products | $247 |
| Quartz | All Other Self Funded | $257 |
| Quartz | Self Funded | $275 |
| Quartz | Level Funded | $284 |
| UHC | All Payer Appendix | $290 |
| Health Partners | Medicaid HMO | $293 |
| Wellmark | All Products | $298 |
| Aetna | Medicare Advantage | $304 |
| Amerigroup | Medicare Advantage | $304 |
| Health Partners | Medicare Advantage | $304 |
| Humana | Medicare Advantage | $304 |
| Iowa Total Care | Medicaid | $304 |
| Managed Health Service | Managed Medicaid | $304 |
| Quartz | Medicaid_Badgercare | $304 |
| Quartz | Medicare Advantage | $304 |
| UHC | Medicare Advantage | $304 |
| Wellmark | Medicare Advantage | $304 |
| Quartz | Fully Insured | $319 |
| UCARE | Non-Dually Eligible | $322 |
| UCARE | Dually Eligible | $322 |
| UCARE | MSHO/Minnesota Special Needs | $322 |
| Health Partners | Medicare Cost | $351 |
| Alliance | Premier/All Products | $463 |
| Alliance | Comprehensive/All Products | $463 |
| Medical Associates | CAH Specific | $468 |
| Trilogy | All Products | $468 |
| UCARE | Qualified Health Plan | $468 |
| Aetna | All Products | $480 |
| Aspirus Arise Health | All Products | $486 |
| Allied National | Core Value Programs | $497 |
Inpatient
$347cash price (self-pay)
$585list price
$247–$567range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $345 |
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All common services at Gundersen Palmer Lutheran Hospital and Clinic