Emergency visit, moderate (level 3) at UnityPoint Health - St. Lukes Downtown. CPT 99283.
What UnityPoint Health - St. Lukes Downtown publishes for this service, straight from its standard-charges file, last updated January 28, 2026.
Outpatient / ER
$44.00cash price (self-pay)
$162list price
$14.30–$739range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Nebraska Total Care | Managed Medicaid | $42.12 |
| Avera Health Plan | Commercial | $96.69 |
| Wellmark Blue Cross and Blue Shield | HMO | $116 |
| Wellmark Blue Cross and Blue Shield | PPO | $116 |
| Wellmark UPH Self-Funded | Commercial | $116 |
| Cigna/Midlands | Commercial | $137 |
| Medica Exchange Inspire | Commercial | $149 |
| Medica Exchange Insure | Commercial | $166 |
| Amerigroup | Managed Medicaid | $245 |
| Iowa Total Care | Managed Medicaid | $245 |
| Aetna | Medicare Advantage | $275 |
| Wellmark Blue Cross and Blue Shield | Medicare Advantage | $275 |
| Molina | Medicare Advantage | $275 |
| Humana | Medicare Advantage | $283 |
| United Healthcare | Medicare Advantage | $283 |
| Amerivantage | Medicare Advantage | $283 |
| Health Partners Open Network | Commercial | $413 |
| Aetna | HMO | $590 |
| Aetna | PPO | $677 |
| United Healthcare | PPO | $739 |
| United Healthcare | HMO | $739 |
Inpatient
$44.00cash price (self-pay)
$288list price
$34.60–$328range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna/Midlands | Commercial | $181 |
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All common services at UnityPoint Health - St. Lukes Downtown