Emergency visit, moderate (level 3) at IU Health Paoli Hospital. CPT 99283.
What IU Health Paoli Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$502cash price (self-pay)
$1,309list price
$296–$1,303range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elevance Health | All Government Medicaid HIP | $296 |
| Managed Health Services | All Government Medicaid HIP | $296 |
| Caresource | All Government Medicaid HIP | $296 |
| Managed Health Services | All Government Medicaid | $296 |
| Elevance Health | All Managed Medicaid | $296 |
| Caresource | All Managed Medicaid | $296 |
| United Healthcare | All Managed Medicaid | $296 |
| Self-Pay | Other - Self-Pay | $502 |
| SIHO Insurance Services | PPO - Union Health | $537 |
| Suburban Health Organization | PPO - Direct | $687 |
| Aetna | POS - Cox Medical Plans | $746 |
| Aetna | PPO - IN Preferred | $746 |
| Deaconess Health System | All Managed Care | $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 |
| Patoka Valley Health Care Cooperative | All Managed Care | $942 |
| Parkview Health | EPO | $944 |
| Lutheran Preferred | All PPO Plans | $1,047 |
| Parkview Health | PPO | $1,079 |
| Encore Health Network | PPO | $1,178 |
| SIHO Insurance Services | All PPO Plans | $1,178 |
| SIHO Insurance Services | HMO/POS Plans | $1,178 |
| Cigna | HMO - Open Access | $1,178 |
| Cigna | HMO/POS - Arnett Hospital Plans | $1,178 |
| Cigna | PPO | $1,178 |
| Sagamore Health Network/Cigna | PPO - NON-DRG | $1,178 |
| Indiana Health Network (IHN) | All Managed Care | $1,178 |
| Sagamore Health Network/Cigna | PPO - DRG Plans | $1,178 |
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