Emergency visit, moderate (level 3) at Teton Valley Health Care. CPT 99283.
What Teton Valley Health Care publishes for this service, straight from its standard-charges file, last updated July 21, 2026.
Outpatient / ER
$158cash price (self-pay)
$925list price
$55.66–$2,120range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Medicaid | Blue Cross Medicaid | $58.42 |
| Town And Country-All Plans | Town And Country-All Plans | $81.51 |
| Brightpath-All Plans | Brightpath-All Plans | $103 |
| Pacific Source-All Plans | Pacific Source-All Plans | $112 |
| UHC Medicare Advantage | UHC Medicare Advantage | $245 |
| Humana-All Plans | Humana-All Plans | $250 |
| Prime Health Services-All Other Plans | Prime Health Services-All Othe | $250 |
| Triwest-All Plans | Triwest-All Plans | $250 |
| Prime Health Medicare Advantage | Prime Health Medicare Advantage | $250 |
| Regence Blue Shield Medicare Advantage | Regence Blue Shield Medicare | $250 |
| Select Health Medicare Advantage | Select Health Medicare Advantage | $250 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $319 |
| Aetna Medicare | Aetna Medicare | $435 |
| Moda-All Plans | Moda-All Plans | $473 |
| First Choice-All Plans | First Choice-All Plans | $476 |
| Blue Cross Qhp | Blue Cross Qhp | $479 |
| Cigna Oap | Cigna Oap | $488 |
| Select Health-All Other Plans | Select Health-All Other Plans | $491 |
| St Lukes Brightpath-All Plans | St Lukes Brightpath-All Plans | $493 |
| Cigna PPO-All Other Plans | Cigna PPO-All Other Plans | $495 |
| Blue Cross Trad/PPO/POS-All Other Plans | Blue Cross Trad/PPO/POS-All | $501 |
| Aetna-All Other Plans | Aetna-All Other Plans | $860 |
| Regence Blue Shield-All Other Plans | Regence Blue Shield-All Other Pl | $907 |
| UHC All Payer-All Other Plans | UHC All Payer-All Other Plans | $2,120 |
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