Emergency visit, moderate (level 3) at Community Hospital of Bremen. CPT 99283.
What Community Hospital of Bremen publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$537cash price (self-pay)
$826list price
$256–$1,074range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $256 |
| Anthem | Exchange | $256 |
| Anthem | Medicare Advantage | $256 |
| Anthem | Workers Compensation | $256 |
| Caresource | Exchange | $256 |
| Humana | Medicare Advantage | $256 |
| MHS | Exchange | $256 |
| UHC | Medicare Advantage | $256 |
| VA Optum | VA | $256 |
| Anthem | Pathway Essentials | $330 |
| Plain Church | Commercial | $330 |
| Immergrun | Commercial | $413 |
| Anthem | Commercial PPO | $453 |
| Anthem | Commercial Trad | $497 |
| Cigna Sagamore | Commercial | $574 |
| Cigna Sagamore | PPO | $574 |
| CHA | Employer Group 4 | $578 |
| Medishare Multiplan | Commercial | $620 |
| PHP | Commercial | $620 |
| Priority Health | Commercial | $620 |
| Aetna | Commercial | $624 |
| Allied Benefit | Commercial | $624 |
| CHA | Commercial | $636 |
| UHC | Commercial | $653 |
| Multiplan | Commercial | $661 |
| All Savers | Commercial | $677 |
| Cigna Prof Benefit | Commercial | $677 |
| UMR UHC | Medicare Advantage | $677 |
| Caresource | IN Medicaid HIP | $1,074 |
Inpatient
$537cash price (self-pay)
$826list price
$413–$1,074range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Immergrun | Commercial | $413 |
| Anthem | Commercial PPO | $439 |
| Anthem | Commercial Trad | $498 |
| Cigna Sagamore | Commercial | $574 |
| Cigna Sagamore | PPO | $574 |
| CHA | Employer Group 4 | $578 |
| Medishare Multiplan | Commercial | $620 |
| PHP | Commercial | $620 |
| Priority Health | Commercial | $620 |
| Aetna | Commercial | $624 |
| Allied Benefit | Commercial | $624 |
| CHA | Commercial | $636 |
| Multiplan | Commercial | $661 |
| Plain Church | Commercial | $661 |
| Cigna Prof Benefit | Commercial | $677 |
| Caresource | IN Medicaid HIP | $1,074 |
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