Emergency visit, moderate (level 3) at Sullivan County Community Hospital. CPT 99283.
What Sullivan County Community Hospital publishes for this service, straight from its standard-charges file, last updated June 10, 2026.
Outpatient / ER
$639cash price (self-pay)
$852list price
$75.80–$852range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mhs Mcaid - All Other Plans | Mhs Mcaid - All Other Plans | $75.80 |
| BCBS Mcr Adv | BCBS Mcr Adv | $256 |
| Mdwise Mcr Adv | Mdwise Mcr Adv | $256 |
| Ambetter Comm-Exch - All Plans | Ambetter Comm-Exch - All Plans | $256 |
| BCBS Essential | BCBS Essential | $256 |
| Va Ccn - All Plans | Va Ccn - All Plans | $256 |
| Humana Mcr Adv | Humana Mcr Adv | $258 |
| Mhs Hlthy In Mcaid | Mhs Hlthy In Mcaid | $279 |
| BCBS Healthsync | BCBS Healthsync | $304 |
| BCBS Pathway X | BCBS Pathway X | $304 |
| BCBS HMO | BCBS HMO | $375 |
| BCBS Pathway | BCBS Pathway | $380 |
| BCBS PPO | BCBS PPO | $380 |
| BCBS Trad - All Other Plans | BCBS Trad - All Other Plans | $450 |
| Siho - All Plans | Siho - All Plans | $639 |
| Humana Comm - All Other Plans | Humana Comm - All Other Plans | $724 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $724 |
| Humana Mcaid | Humana Mcaid | $852 |
| Mdwise Mcaid - All Other Plans | Mdwise Mcaid - All Other Plans | $852 |
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