Emergency visit, moderate (level 3) at IU Health Bloomington Hospital. CPT 99283.
What IU Health Bloomington Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$455cash price (self-pay)
$1,848list price
$290–$1,756range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All Managed Medicare - In network | $290 |
| Indiana University Health | All Managed Medicare | $290 |
| Elevance Health | All Managed Medicare - Out of network | $290 |
| Aetna | All Managed Medicare | $290 |
| United Healthcare | All Managed Medicare | $290 |
| Humana | All Managed Medicare HMO | $290 |
| Zing Health | All Managed Medicare | $290 |
| Health Alliance | HMO/PPO Managed Medicare | $290 |
| Elevance Health | All Managed Medicaid | $296 |
| United Healthcare | All Managed Medicaid | $296 |
| Managed Health Services | All Government Medicaid | $296 |
| Caresource | All Managed Medicaid | $296 |
| Caresource | All Government Medicaid HIP | $296 |
| Elevance Health | All Government Medicaid HIP | $296 |
| Managed Health Services | All Government Medicaid HIP | $296 |
| Humana | All Managed Medicare PPO | $296 |
| Wellcare by Allwell | All Managed Medicare | $296 |
| Elevance Health | HMO - Anthem Pathway Essentials | $319 |
| United Healthcare | ASO | $391 |
| Caresource | All Marketplace Plans | $435 |
| Ambetter | All HMO Marketplace Plans | $478 |
| Elevance Health | All IUHP Employee Plans | $498 |
| SIHO Insurance Services | ASO - Smithville | $725 |
| Encore Health Network | EPO - Elite+ Plans | $725 |
| Suburban Health Organization | PPO - Direct | $989 |
| Deaconess Health System | All Managed Care | $1,072 |
| Cigna | PPO - New Business | $1,183 |
| Lutheran Health Network | All Managed Care | $1,294 |
| Parkview Health | EPO | $1,332 |
| Aetna | PPO/POS | $1,353 |
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