Emergency visit, moderate (level 3) at Franciscan Health Lafayette. CPT 99283.
What Franciscan Health Lafayette publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$463cash price (self-pay)
$2,097list price
$289–$2,097range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Wir-Lafayette | $289 |
| Medicare Replacement [2003] | Medicare-Wir-Lafayette | $289 |
| Medicaid Illinois [1091] | In Mcd-Wir-Lafayette | $296 |
| Medicaid [1092] | In Mcd-Wir-Lafayette | $296 |
| Mdwise [1175] | In Mcd-Wir-Lafayette | $296 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Wir-Lafayette | $296 |
| Managed Health Services [1302] | In Mcd Lafayette Mhs 112% Of In Mcd | $305 |
| Medicaid [1092] | In Mcd Lafayet Caresource 120% Of In Mcd | $355 |
| Workers Comp [1172] | Workers Comp - Wir - Lafayette | $578 |
| Blue Cross [1014] | Anthem Franciscan Employee Copps- All Locations | $698 |
| Blue Cross [1014] | Anthem Healthsync HMO With Copps - Lafayette | $844 |
| Blue Cross [1014] | Anthem Healthsync POS With Copps - Lafayette | $957 |
| United Healthcare [1156] | UHC All Payer-Wid-Lafayette | $1,013 |
| United Medical Resources [1158] | UHC All Payer-Wid-Lafayette | $1,013 |
| United Medical Resources [1301] | UHC All Payer-Wid-Lafayette | $1,013 |
| Managed Care [2000] | UHC All Payer-Wid-Lafayette | $1,013 |
| Commercial [2001] | UHC All Payer-Wid-Lafayette | $1,013 |
| Blue Cross [1014] | Anthem Blue Access PPO With Copps - Lafayette | $1,069 |
| Unicare [1150] | Anthem Blue Access PPO With Copps - Lafayette | $1,069 |
| Blue Cross Illinois [1210] | Anthem Blue Access PPO With Copps - Lafay | $1,069 |
| Blue Cross Out Of State [1211] | Anthem Blue Access PPO With Copps - L | $1,069 |
| Alt Payer Illinois Blue Cross [121002] | Anthem Blue Access PPO With C | $1,069 |
| Alt Payer Indiana Blue Cross [121003] | Anthem Blue Access PPO With Co | $1,069 |
| United Healthcare [1156] | United Healthcare Options PPO-Wid-Lafaye | $1,116 |
| United Medical Resources [1301] | United Healthcare Options PPO-Wid-La | $1,116 |
| Managed Care [2000] | United Healthcare Options PPO-Wid-Lafaye | $1,116 |
| Managed Care [2000] | Encore - Cid & Nid & Wid & Sscd | $1,363 |
| Commercial [2001] | Encore - Cid & Nid & Wid & Sscd | $1,363 |
| Cigna [1037] | Cigna-Wid-Lafayette | $1,441 |
| Great West Insurance [1055] | Cigna-Wid-Lafayette | $1,441 |
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