Emergency visit, moderate (level 3) at Decatur Memorial Hospital. CPT 99283.
What Decatur Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$1,225cash price (self-pay)
$1,263list price
$1.78–$2,546range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield | Blue Cross Community MMAI/Dual Eligible | $169 |
| Aetna | Aetna Medicare Advantage | $180 |
| Blue Cross Blue Shield | BCBS Medicare Advantage | $180 |
| Coventry | Coventry Advantra Medicare Advantage | $180 |
| Health Alliance | Health Alliance Medicare Advantage | $180 |
| Humana | Humana Medicare Advantage | $180 |
| Medicare | Medicare | $180 |
| United HealthCare | United HealthCare Medicare Advantage | $180 |
| Veterans Administration | Veterans Administration | $180 |
| Tricare/Champus | Tricare/Champus | $182 |
| WellCare | WellCare Medicare Advantage PPO | $288 |
| UHC Va Ccn | UHC Va Ccn | $293 |
| HFN | HFN Workers Compensation | $307 |
| Commercial Workers Compensation | Commercial Workers Compensation | $310 |
| Illinois Workers Compensation | Illinois Workers Compensation | $415 |
| Mennonite Churches | Mennonite Churches | $543 |
| Plain Church Medical Group | Plain Church Medical Group | $568 |
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $581 |
| Cigna | Cigna PPO | $588 |
| Caterpillar | Caterpillar | $658 |
| Health Alliance | Health Alliance Public Exchange | $735 |
| 6 Degrees Health | 6 Degrees Health | $758 |
| HopeTrust | HopeTrust | $758 |
| Hst | Hst | $758 |
| Coventry | First Health | $758 |
| Humana | Humana PPO | $821 |
| PHCS Savility | PHCS Savility | $821 |
| Health Alliance | Health Alliance | $840 |
| PHCS MultiPlan PPO | PHCS MultiPlan PPO | $859 |
| Healthlink | Healthlink PPO/HMO | $866 |
Inpatient
$1,225cash price (self-pay)
$1,263list price
$564–$1,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance MH Employee Plan | Health Alliance MH Employee Plan | $581 |
| 6 Degrees Health | 6 Degrees Health | $758 |
| HopeTrust | HopeTrust | $758 |
| Hst | Hst | $758 |
| PHCS MultiPlan PPO | PHCS MultiPlan PPO | $859 |
| BCBS Phai | BCBS Phai | $1,263 |
| Blue Cross Blue Shield | BCBS PPO/HMO/Employee | $1,263 |
| Liability | Liability | $1,263 |
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