Emergency visit, moderate (level 3) at Franciscan Health Indianapolis. CPT 99283.
What Franciscan Health Indianapolis publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$629cash price (self-pay)
$2,721list price
$289–$2,721range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Cir-Indianapolis | $289 |
| Mdwise [1175] | In Mcd-Cir-Indianapolis | $296 |
| Medicaid [1092] | In Mcd-Cir-Indianapolis | $296 |
| Medicaid Illinois [1091] | In Mcd-Cir-Indianapolis | $296 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Cir-Indianapolis | $296 |
| Medicaid [1092] | Anthem Medicaid [109201] | $296 |
| Medicaid [1092] | Medicaid In Traditional [109206] | $296 |
| Medicaid [1092] | Anthem Healthy Indiana Plan [301498] | $296 |
| Medicaid [1092] | Anthem Care Connect [315015] | $296 |
| Medicaid [1092] | Mdwise Excel Hip [318028] | $296 |
| Medicaid [1092] | Mdwise Excel Hhw [318029] | $296 |
| Medicaid [1092] | Anthem Pathways For Aging [324049] | $296 |
| Medicaid [1092] | Humana Healthy Horizons In Indiana [324050] | $296 |
| Medicaid [1092] | United Healthcare Pathways For The Aging [324051] | $296 |
| Medicare Replacement [2003] | Medicare-Cir-Indianapolis | $303 |
| Managed Health Services [1302] | In Mcd Ind-Carmel-Car Ort 112% Of In | $305 |
| Managed Health Services [1302] | Managed Hlth Serv Hip [313052] | $305 |
| Managed Health Services [1302] | Managed Health Services [313053] | $305 |
| Managed Health Services [1302] | Mhs Care Connect [315017] | $305 |
| Medicare Replacement [2003] | Provider Partners Medicare Replacement [ | $318 |
| Medicaid [1092] | In Mcd-Indianapol Caresource 120% In Mcd | $355 |
| Medicaid [1092] | Caresource Hip [316038] | $355 |
| WORKERS COMP [1172] | Workers Comp - CIR - INDIANAPOLIS | $578 |
| United Healthcare [1156] | United Healthcare Charter-Cid | $1,616 |
| Managed Care [2000] | United Healthcare-Cid | $1,649 |
| United Healthcare [1156] | United Healthcare-Cid | $1,649 |
| United Medical Resources [1158] | United Healthcare-Cid | $1,649 |
| United Medical Resources [1301] | United Healthcare-Cid | $1,649 |
| Commercial [2001] | United Healthcare-Cid | $1,649 |
| Managed Care [2000] | Siho - Cid & Nid & Wid Locations | $1,694 |
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