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Emergency visit, moderate (level 3) at Cheyenne County Hospital. CPT 99283.

What Cheyenne County Hospital publishes for this service, straight from its standard-charges file, last updated August 4, 2026.

Outpatient / ER

$510cash price (self-pay)
$600list price
$2.21–$955range insurers pay
Insurance planNegotiated rate
BCBS PPO - All Plans | BCBS PPO - All Plans$404
First Health - All Plans | First Health - All Plans$420
Tricare/Triwest - All Plans | Tricare/Triwest - All Plans$480
Aetna Mcr Adv | Aetna Mcr Adv$480
Firstguard - All Plans | Firstguard - All Plans$480
Healthy Blue Mcr Adv | Healthy Blue Mcr Adv$480
UHC Mcr Adv | UHC Mcr Adv$480
UHC Optum Va | UHC Optum Va$480
Choice Care - All Plans | Choice Care - All Plans$485
Wppa - All Plans | Wppa - All Plans$540
Aetna Coventry - All Other Plans | Aetna Coventry - All Other Plans$570
Preferred Hc - All Plans | Preferred Hc - All Plans$570
Cpm - All Plans | Cpm - All Plans$570
Midlands Choice - All Plans | Midlands Choice - All Plans$582
Health Partners - All Plans | Health Partners - All Plans$588
Integrated Hp - All Plans | Integrated Hp - All Plans$588
PPO Next - All Plans | PPO Next - All Plans$588
Unicare - All Plans | Unicare - All Plans$588
Childrens Mercy - All Plans | Childrens Mercy - All Plans$600
Healthy Blue Mcaid - All Other Plans | Healthy Blue Mcaid - All Other $600
Healthwave Mcaid - All Plans | Healthwave Mcaid - All Plans$600
UHC Medicaid & Chip | UHC Medicaid & Chip$600
Providers Care-All Plans | Providers Care-All Plans$900
UHC All Payer - All Other Plans | UHC All Payer - All Other Plans$955
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All common services at Cheyenne County Hospital