Emergency visit, moderate (level 3) at Springfield Memorial Hospital. CPT 99283.
What Springfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 17, 2026.
Outpatient / ER
$1,300cash price (self-pay)
$1,300list price
$44.00–$1,485range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magellan | Magellan PPO | $44.00 |
| BCBS Medicare Advantage | BCBS Medicare Advantage | $180 |
| Blue Cross Community MMAI/Dual Eligible | Blue Cross Community MMAI/Du | $268 |
| Aetna | Aetna Medicare Advantage | $288 |
| Health Alliance | Health Alliance ACA | $416 |
| HealthLink | HealthLink EPO | $568 |
| Current Health Network PPO | Current Health Network PPO | $585 |
| Aetna | Aetna PPO | $595 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $598 |
| Commercial Workers Compensation | Commercial Workers Compensation | $657 |
| Health Alliance | Health Alliance Coordinated Care Plan (CCP) | $676 |
| Cigna | Cigna PPO | $683 |
| Illinois Workers Compensation | Illinois Workers Compensation | $692 |
| PHCS/MultiPlan | PHCS Savility PPO | $702 |
| HealthLink | HealthLink HMO | $741 |
| Health Alliance | Health Alliance Self Funded | $753 |
| 6 Degrees Health | 6 Degrees Health | $780 |
| Hst | Hst | $780 |
| HopeTrust | HopeTrust | $780 |
| Humana | Humana PPO | $780 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $780 |
| HealthLink | HealthLink PPO | $819 |
| Consociate | Consociate PPO | $845 |
| Health Alliance | Health Alliance Gated PPO | $845 |
| HFN | HFN Platinum PPO | $845 |
| Hfn | Hfn PPO | $845 |
| Preferred Plan | Preferred Plan PPO | $975 |
| SOI McFarland | SOI McFarland PPO | $975 |
| SOI Rushville | SOI Rushville PPO | $975 |
| Coventry/Aetna | Coventry/Aetna First Health PPO | $988 |
Inpatient
$1,300cash price (self-pay)
$1,300list price
$520–$1,300range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Alliance | Health Alliance ACA | $520 |
| Health Alliance | Health Alliance MHS Employee Health Plan HMO | $598 |
| PHCS/MultiPlan | PHCS Savility PPO | $702 |
| Health Alliance | Health Alliance Gated PPO | $715 |
| Health Alliance | Health Alliance Self Funded | $753 |
| 6 Degrees Health | 6 Degrees Health | $780 |
| HopeTrust | HopeTrust | $780 |
| Hst | Hst | $780 |
| Humana | Humana PPO | $780 |
| Magellan | Magellan PPO | $780 |
| PHCS/MultiPlan | PHCS/MultiPlan PPO | $780 |
| HFN | HFN Platinum PPO | $845 |
| Hfn | Hfn PPO | $845 |
| Preferred Plan | Preferred Plan PPO | $975 |
| SOI McFarland | SOI McFarland PPO | $975 |
| SOI Rushville | SOI Rushville PPO | $975 |
| Methodist First Choice | Methodist First Choice PPO | $1,040 |
| Mutual Medical Plans | Mutual Medical Plans PPO | $1,105 |
| Blue Cross Blue Shield | BCBS HMO/PHAI | $1,300 |
| Blue Cross Blue Shield | BCBS PPO/Indemnity/ACA | $1,300 |
| BCBS | Blue Cross Memorial Health System | $1,300 |
| Liability | Liability | $1,300 |
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