Emergency visit, moderate (level 3) at Dupont Hospital. CPT 99283.
What Dupont Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$44.55cash price (self-pay)
$191list price
$40.00–$2,269range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Physicians Health Plan | PHP Options | $46.30 |
| Amish Aid | Amish Aid | $51.57 |
| Self Pay | Self Pay | $51.57 |
| Lutheran Preferred | Lutheran Preferred CHS Employees | $56.73 |
| Physicians Health Plan | PHP Classic Network | $60.85 |
| Cigna | Cigna HMO | $61.69 |
| PHP Freedom Network | PHP Freedom Network | $63.39 |
| Veterans Eval Services | Veterans Eval Services | $64.70 |
| Cigna | Cigna PPO | $69.33 |
| Aetna | Aetna NBD | $70.67 |
| Aetna PSSD J and J | Aetna PSSD JJ | $70.67 |
| Physicians Health Plan | PHP Platinum Network | $73.96 |
| Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $76.40 |
| Aetna | Aetna | $85.38 |
| Lutheran Preferred | Lutheran Preferred Fixed | $85.95 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $85.95 |
| Lutheran Preferred | Lutheran Preferred Three Rivers | $85.95 |
| Encore PPO | Encore Combined PPO | $95.50 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $95.50 |
| Lutheran Network | Lutheran Preferred Exclusive Plus MRM | $95.50 |
| Medical Mutual of OH | Medical Mutual of Ohio | $101 |
| Sagamore | Sagamore Select Fully Insured | $103 |
| Lutheran Preferred | Lutheran Preferred Choice | $105 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $105 |
| Sagamore | Sagamore Plus | $106 |
| Sagamore | Sagamore Select Self Insured | $106 |
| Lutheran Preferred | Lutheran Preferred CCSI | $115 |
| Prime Health Services | Prime Health Services | $143 |
| Prime Health Services | Prime Health Services Auto | $143 |
| FrontPath | FrontPath Health Coalition | $153 |
Inpatient
$74.25cash price (self-pay)
$191list price
$49.00–$1,648range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | Lutheran Preferred CHS Employees | $56.73 |
| Cigna | Cigna HMO | $61.69 |
| Cigna | Cigna PPO | $69.33 |
| Aetna | Aetna NBD | $70.67 |
| Aetna PSSD J and J | Aetna PSSD JJ | $70.67 |
| Physicians Health Plan | PHP Platinum Network | $73.96 |
| Aetna | Aetna | $85.38 |
| Self Pay | Self Pay | $85.95 |
| Medical Mutual of OH | Medical Mutual of Ohio | $101 |
| Lutheran Preferred | Lutheran Preferred Choice | $105 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $105 |
| Lutheran Preferred | Lutheran Preferred CCSI | $115 |
| Prime Health Services | Prime Health Services | $143 |
| Prime Health Services | Prime Health Services Auto | $143 |
| FrontPath | FrontPath Health Coalition | $153 |
| Encore Health Network | Encore Fully Funded | $157 |
| Advantage Health Solutions | Advantage Health Solutions | $159 |
| Multiplan | Multiplan PPO Primary Network | $164 |
| Allied Benefit Systems | Allied Benefit Systems | $172 |
| Encore Health Network | Encore Self Funded | $172 |
| Multiplan | Multiplan PPO Complimentary Network | $172 |
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