Emergency visit, moderate (level 3) at Fairview Hospital. CPT 99283.
What Fairview Hospital publishes for this service, straight from its standard-charges file, last updated March 25, 2026.
Outpatient / ER
$351cash price (self-pay)
$747list price
$52.15–$709range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare | MCR Traditional Medicare | $72.53 |
| Medicare | MCRManaged Medicare HMO | $72.53 |
| Hospice | Comm Hospice | $73.64 |
| Other Government | MCR Miscellaneous | $73.64 |
| Other Government | MCRManaged USA Family | $73.64 |
| Other Government | MCRManaged VA | $73.64 |
| Health New England | MCRManaged HNE Medicare Advantage | $74.47 |
| Blue Cross | MCRManaged Blue Cross VT Medicare HMO | $78.61 |
| Fallon | MCRManaged Fallon Medicare Advantage | $78.61 |
| CommCare Alliance | MCRManaged CCA One Care | $82.03 |
| Fallon | MCRManaged Fallon Medicare SCO | $85.45 |
| Other Government | Tri Tricare | $104 |
| Point32Health | Comm Tufts QHPSUB (Network) | $133 |
| Point32Health | MCDManaged Tufts (Network) | $133 |
| Workers Comp | WC Workers Comp | $149 |
| Comm Fallon QHP | Comm Fallon QHP | $166 |
| Aetna | Comm Aetna | $169 |
| Unicare | Comm Wellpoint (Unicare) | $181 |
| Comm HNE HMO | Comm HNE HMO | $193 |
| Health New England | Comm HNE | $204 |
| Comm HNE PPO | Comm HNE PPO | $205 |
| Fallon | MCDManaged Fallon Medicaid ACO | $227 |
| Allways NHP | Comm NHP | $361 |
| United Healthcare | Comm United BH | $363 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $372 |
| Blue Cross | Comm Blue Cross VT PPO | $426 |
| Point32Health | Comm Tufts | $442 |
| United Healthcare | Comm UnitedHealthcare | $480 |
| Capital District Physicians' Health Plan | Comm CDPHP | $502 |
| Cigna | Comm Cigna Carelink | $502 |
Inpatient
$351cash price (self-pay)
$558list price
$209–$709range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point32Health | Comm Tufts QHPSUB (Network) | $315 |
| Point32Health | MCDManaged Tufts (Network) | $315 |
| Workers Comp | WC Workers Comp | $356 |
| Allways NHP | Comm NHP | $361 |
| Point32Health | Comm Tufts QHPNONSUB (Network) | $362 |
| United Healthcare | Comm United BH | $363 |
| Blue Cross | Comm Blue Cross VT PPO | $402 |
| Aetna | Comm Aetna | $421 |
| Point32Health | Comm Tufts | $442 |
| United Healthcare | Comm UnitedHealthcare | $480 |
| Capital District Physicians' Health Plan | Comm CDPHP | $502 |
| MVP | Comm MVP | $502 |
| Oxford | Comm Oxford | $502 |
| Connecticare | Comm Connecticare | $530 |
| Consolidated Health Plans | Comm Consolidated Health | $530 |
| First Health | Comm First Health | $530 |
| Point32Health | Comm Harvard | $530 |
| Other Commercial | Comm Other | $530 |
| PHCS | Comm PHCS | $530 |
| Self Pay | Comm Self Pay | $530 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.