Emergency visit, moderate (level 3) at Northwest Health - Porter. CPT 99283.
What Northwest Health - Porter publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$633cash price (self-pay)
$2,345list price
$64.70–$1,970range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $64.70 |
| One Call | One Call Care Diagnostics WC | $65.36 |
| NODE Tricare | NODE Tricare | $274 |
| Anthem | Anthem IN Medicaid | $296 |
| CareSource | Caresource HHW IN Medicaid | $296 |
| CareSource | CareSource IN HIP | $296 |
| Humana PathWays IN Medicaid | Humana PathWays IN Medicaid | $296 |
| Indiana Medicaid | IN Medicaid | $296 |
| Indiana Medicaid Non Par | IN Medicaid Non Par | $296 |
| MHS | MHS HCC IN Medicaid | $296 |
| Managed Health Services | MHS HHW IN Medicaid | $296 |
| Managed Health Services | MHS IN HIP | $296 |
| UHC | UHC HCC IN Medicaid | $296 |
| UHC PathWays IN Medicaid | UHC PathWays IN Medicaid | $296 |
| Align Network | Align Network | $462 |
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $563 |
| Aetna | Aetna HMO/POS | $630 |
| Self Pay | Self Pay | $633 |
| Cigna | Cigna ALL | $652 |
| Physicians Health Plan | PHP Options | $899 |
| United Healthcare | UHC APA | $968 |
| PHP Freedom | PHP Freedom Network | $969 |
| First Health Coventry | First Health | $995 |
| Sagamore Health Network | Sagamore Indiana Financial | $1,036 |
| Lutheran Preferred | Lutheran Preferred Fixed 2 | $1,055 |
| Aetna | Aetna PPO | $1,133 |
| Sagamore Health Network | Sagamore Anthem Groups | $1,154 |
| United Healthcare | UHC PPO | $1,170 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $1,173 |
| Encore PPO | Encore Combined PPO | $1,271 |
Inpatient
$844cash price (self-pay)
$2,345list price
$563–$1,970range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred CHS Employees | Lutheran Preferred CHS Employees | $563 |
| Cigna | Cigna ALL | $652 |
| Self Pay | Self Pay | $844 |
| Physicians Health Plan | PHP Options | $899 |
| PHP Freedom | PHP Freedom Network | $969 |
| Sagamore Health Network | Sagamore Indiana Financial | $1,036 |
| Sagamore Health Network | Sagamore Anthem Groups | $1,154 |
| Aetna | Aetna PPO | $1,189 |
| Sagamore Health Network | Sagamore Select Plus | $1,388 |
| Lutheran Preferred | Lutheran Preferred Choice | $1,407 |
| Southeastem Indiana Health Operations | SIHO Outside Counties | $1,642 |
| Prime Health | PRIME HEALTH SERVICES | $1,759 |
| Prime Health | Prime Health Services Auto | $1,759 |
| Southeastem Indiana Health Operations | SIHO Inside Counties | $1,759 |
| Encore Health | Encore Health PPO | $1,876 |
| Multiplan/PHCS | Multiplan Complementary | $1,970 |
| Multiplan/PHCS | PHCS Savility Primary Network | $1,970 |
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