Emergency visit, moderate (level 3) at IU Health Jay Hospital. CPT 99283.
What IU Health Jay Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$586cash price (self-pay)
$1,309list price
$296–$1,303range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Caresource | All Managed Medicaid | $296 |
| United Healthcare | All Managed Medicaid | $296 |
| Elevance Health | All Managed Medicaid | $296 |
| Managed Health Services | All Government Medicaid | $296 |
| Elevance Health | All Government Medicaid HIP | $296 |
| Managed Health Services | All Government Medicaid HIP | $296 |
| Caresource | All Government Medicaid HIP | $296 |
| Elevance Health | All HMO/POS | $525 |
| Elevance Health | All PPO | $525 |
| Elevance Health | All Traditional Plans | $556 |
| Suburban Health Organization | PPO - Direct | $687 |
| Aetna | POS - Cox Medical Plans | $758 |
| Aetna | PPO - IN Preferred | $758 |
| Deaconess Health System | All Managed Care | $759 |
| Cigna | PPO - New Business | $759 |
| Community Health Direct | HMO - LaPorte Regional Plans | $772 |
| Parkview Health | HMO - Employee Plans | $809 |
| Unified Group Services | HMO | $812 |
| Lutheran Health Network | All Managed Care | $916 |
| United Healthcare | All Managed Care | $929 |
| Parkview Health | EPO | $944 |
| Aetna | PPO - First Health | $956 |
| Aetna | PPO - NAP | $956 |
| Aetna | HMO - Coventry Plans | $992 |
| Aetna | PPO/POS | $992 |
| Lutheran Preferred | All PPO Plans | $1,047 |
| Parkview Health | PPO | $1,079 |
| Encore Health Network | PPO | $1,140 |
| Indiana Health Network (IHN) | All Managed Care | $1,156 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $1,157 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.