Emergency visit, moderate (level 3) at Franciscan Health Michigan City. CPT 99283.
What Franciscan Health Michigan City publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$402cash price (self-pay)
$1,932list price
$289–$1,932range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [1099] | Medicare-Nir-Michigan City | $289 |
| Medicare Replacement [2003] | Medicare-Nir-Michigan City | $289 |
| Medicaid Illinois [1091] | In Mcd-Nir-Michigan City | $296 |
| Medicaid [1092] | In Mcd-Nir-Michigan City | $296 |
| Mdwise [1175] | In Mcd-Nir-Michigan City | $296 |
| Alt Traditional Medicaid Secondary [109200] | In Mcd-Nir-Michigan City | $296 |
| Managed Health Services [1302] | In Mcd Michigan City Mhs 112% Of In M | $305 |
| Medicaid [1092] | In Mdc Mi City Caresource 120% Of In Mcd | $355 |
| Workers Comp [1172] | Workers Comp - Nir - Michigan City | $578 |
| Aetna [1005] | Aetna-Nid-Dyer-Munster-Crn Point | $792 |
| Managed Care [2000] | Aetna-Nid-Dyer-Munster-Crn Point | $792 |
| Cigna [1037] | Cigna Localplus-Nid | $823 |
| Blue Cross Illinois [1210] | St Anthony Health-Nir-Stmar&Fhm&Stant Mc | $966 |
| United Healthcare [1156] | UHC All Payer-Nid-Michigan City | $1,157 |
| United Medical Resources [1158] | UHC All Payer-Nid-Michigan City | $1,157 |
| United Medical Resources [1301] | UHC All Payer-Nid-Michigan City | $1,157 |
| Managed Care [2000] | UHC All Payer-Nid-Michigan City | $1,157 |
| Commercial [2001] | UHC All Payer-Nid-Michigan City | $1,157 |
| Managed Care [2000] | UHC All Savers-Nid-Michigan City | $1,157 |
| Managed Care [2000] | Lutheran Preferred-Nid & Wid & Cid-Carme | $1,159 |
| Managed Care [2000] | First Health-Nid | $1,159 |
| Commercial [2001] | First Health-Nid | $1,159 |
| Cigna [1037] | Cigna HMO-Nid-Michigan City & Laporte | $1,167 |
| Great West Insurance [1055] | Cigna HMO-Nid-Michigan City & Laporte | $1,167 |
| Managed Care [2000] | Cigna HMO-Nid-Michigan City & Laporte | $1,167 |
| Commercial [2001] | Cigna HMO-Nid-Michigan City & Laporte | $1,167 |
| Cigna [1037] | Cigna PPO-Nid-Michigan City | $1,223 |
| United Healthcare [1156] | UHC Options PPO-Nid-Michigan City | $1,287 |
| United Medical Resources [1301] | UHC Options PPO-Nid-Michigan City | $1,287 |
| Managed Care [2000] | UHC Options PPO-Nid-Michigan City | $1,287 |
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