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Emergency visit, moderate (level 3) at Gottlieb Memorial Hospital. CPT 99283.

What Gottlieb Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$342cash price (self-pay)
$1,800list price
$268–$2,152range insurers pay
Insurance planNegotiated rate
BCBS IL | MMP/Duals$268
Aetna | Medicare Advantage$289
VACCN United | Veterans Affairs$289
Humana | Medicare Advantage$295
Cigna | Medicare Advantage$297
Centene | Medicare Advantage$303
Molina | Medicare Advantage$303
Wellcare | Medicare Advantage$303
Oscar IFP | Health Exchange$318
Meridian | MMP/Duals$335
Molina Marketplace IFP | Health Exchange$361
Cigna | HMO$436
Aetna | All Products$792
BCBS IL | Blue Choice$832
BCBS IL | PPO$1,035
BCBS IL | HMO$1,206
BCBS IL | Blue Precision$1,253
Humana | All Products$1,273
Aetna | FH-Medical Rental$1,314
Cigna | PPO$1,581
Meridian | Medicaid$1,800
Molina | Medicaid$1,800
UHC | Navigate Core$2,102
UHC | All Products$2,152
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All common services at Gottlieb Memorial Hospital