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Emergency visit, moderate (level 3) at Witham Memorial Hospital. CPT 99283.

What Witham Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.

Outpatient / ER

$127cash price (self-pay)
$737list price
$48.00–$3,229range insurers pay
Insurance planNegotiated rate
Mdwise Health In-All Plans | Mdwise Health In-All Plans$177
Anthem Mcr Adv | Anthem Mcr Adv$177
Anthem Hip | Anthem Hip$177
Caresource Mcr Adv | Caresource Mcr Adv$181
Aetna Mcr Adv | Aetna Mcr Adv$182
Caresource Indiana Marketplace-All Other Plans | Caresource Indiana MA$318
Anthem Exch | Anthem Exch$452
Anthem HMO | Anthem HMO$496
Anthem PPO | Anthem PPO$496
Aetna-All Other Plans | Aetna-All Other Plans$504
UHC-All Plans | UHC-All Plans$536
Anthem Trad-All Other Plans | Anthem Trad-All Other Plans$560
Encore-All Plans | Encore-All Plans$637
Sagamore-All Plans | Sagamore-All Plans$638
Beech Street-All Plans | Beech Street-All Plans$654
Phcs/Multiplan-All Plans | Phcs/Multiplan-All Plans$670
Anthem Medicaid | Anthem Medicaid$678
Humana Choice Care-All Plans | Humana Choice Care-All Plans$685
Mhs Comml Exch-All Plans | Mhs Comml Exch-All Plans$1,696
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All common services at Witham Memorial Hospital