Emergency visit, moderate (level 3) at Franciscan Health Dyer. CPT 99283.
What Franciscan Health Dyer publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$522cash price (self-pay)
$1,932list price
$289–$1,932range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Nir-Dyer | $289 |
| Medicare Replacement [2003] | Medicare-Nir-Dyer | $289 |
| Medicare [1099] | Medicare Part B [109992] | $289 |
| Medicare [1099] | Medicare Part A & B [109993] | $289 |
| Medicaid Illinois [1091] | In Mcd-Nir-Dyer | $296 |
| Medicaid [1092] | In Mcd-Nir-Dyer | $296 |
| Mdwise [1175] | In Mcd-Nir-Dyer | $296 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Nir-Dyer | $296 |
| Managed Health Services [1302] | In Mcd Dyer Mhs 112% Of In Mcd | $305 |
| Medicaid [1092] | In Mcd Dyer Caresource 120% Of In Mcd | $355 |
| Workers Comp [1172] | Workers Comp - Nir - Dyer | $578 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $698 |
| Cigna [1037] | Cigna Localplus-Nid | $823 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Dyer | $823 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Dyer | $920 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Dyer | $920 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Dyer | $920 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - D | $920 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $920 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $920 |
| Blue Cross Illinois [1210] | St Anthony Health-Nir-Stmar&Fhm&Stant Mc | $966 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $1,109 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $1,109 |
| Cigna [1037] | Cigna-Nid-Hammond-Dyer-Munster-Crn Point | $1,223 |
| Great West Insurance [1055] | Cigna-Nid-Hammond-Dyer-Munster-Crn Point | $1,223 |
| Managed Care [2000] | Cigna-Nid-Hammond-Dyer-Munster-Crn Point | $1,223 |
| Commercial [2001] | Cigna-Nid-Hammond-Dyer-Munster-Crn Point | $1,223 |
| Managed Care [2000] | Private Hc System-Nid-Hammd-Dyer-Munster | $1,250 |
| Commercial [2001] | Aetna-Nid-Dyer-Munster-Crn Point | $1,425 |
| Blue Cross Illinois [1210] | Bc/Bs Of Illinois HMO-Nid-Hammond-Dyer | $1,449 |
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