Emergency visit, moderate (level 3) at Tj Health Samson Community Hospital. CPT 99283.
What Tj Health Samson Community Hospital publishes for this service, straight from its standard-charges file, last updated April 23, 2026.
Outpatient / ER
$115cash price (self-pay)
$177list price
$0.01–$675range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC All Payer - All Plans | UHC All Payer - All Plans | $0.01 |
| Blue Cross Mcr Select | Blue Cross Mcr Select | $67.87 |
| Signature Health - All Plans | Signature Health - All Plans | $67.87 |
| Wellcare Mcr Adv - All Other Plans | Wellcare Mcr Adv - All Other Plan | $67.87 |
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $67.87 |
| Center Care Select - All Plans | Center Care Select - All Plans | $67.87 |
| Molina Mcr Adv | Molina Mcr Adv | $69.23 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $70.45 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $71.26 |
| Caresource - All Plans | Caresource - All Plans | $88.23 |
| Molina Marketplace - All Other Plans | Molina Marketplace - All Other | $88.23 |
| Aetna Better Health Mcaid - All Plans | Aetna Better Health Mcaid - Al | $177 |
| Humana Mcaid | Humana Mcaid | $177 |
| Wellcare Mcaid | Wellcare Mcaid | $177 |
| Molina Mcaid | Molina Mcaid | $182 |
| Phcs/Multiplan - All Plans | Phcs/Multiplan - All Plans | $656 |
| First Health - All Plans | First Health - All Plans | $663 |
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