Emergency visit, moderate (level 3) at West Suburban Medical Center. CPT 99283.
What West Suburban Medical Center publishes for this service, straight from its standard-charges file, last updated March 17, 2025.
Outpatient / ER
$521cash price (self-pay)
$1,534list price
$85.36–$1,821range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | PPO | $85.36 |
| Blue Cross | HMO | $228 |
| Blue Cross | Precision HMO | $255 |
| Blue Cross | Blue Advantage MMAI | $280 |
| Humana | MMAI | $280 |
| Aetna | Medicare Advantage HMO/PPO | $289 |
| Ambetter | Marketplace | $289 |
| Blue Cross | Medicare Advantage | $289 |
| Cigna Healthspring | Medicare Advantage | $289 |
| Humana | Medicare Advantage Gold Plan | $289 |
| Longevity | Medicare Advantage | $289 |
| Wellcare | Medicare Advantage | $289 |
| Zing | Medicare Advantage | $289 |
| Oscar | Medicare Advantage | $294 |
| Aetna | EPO/HMO/POS/PPO/Choice/NAP | $881 |
| Aetna Rental Network | All Plans | $997 |
| United Healthcare | Navigate | $1,583 |
| Golden Rule | All Commercial Plans | $1,684 |
| United Healthcare | All Other Commercial Plans | $1,684 |
| Cigna | All Commercial Plans | $1,821 |
| NALC | All Commercial Plans | $1,821 |
Inpatient
$521cash price (self-pay)
$1,534list price
$997–$997range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Rental Network | All Plans | $997 |
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