Emergency visit, moderate (level 3) at Mercy Hospital. CPT 99283.
What Mercy Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$148cash price (self-pay)
$148list price
$30.67–$2,581range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Wellpoint | Wellpoint | $220 |
| Unicare | Wellpoint | $220 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $321 |
| Tufts Medicare Advantage | Tufts Medicare Advantage | $321 |
| Connecticare Vip Medicare Advantage | Connecticare Medicare Advantage | $321 |
| BCBS Medicare Advantage Generic | BCBS Medicare Advantage | $321 |
| Health New England Medicare Advantage | Health New England Medicare Ad | $324 |
| Carepartners Of Connecticut Medicare Advantage | Carepartners Medicare | $327 |
| Cca Senior Care Options | Commonwealth Care Alliance Medicare Adv | $327 |
| Fallon Health Medicare Advantage | Fallon Health Medicare Advantage | $327 |
| Mass General Brigham Mcr Adv | Mass General Brigham Health Medicare Ad | $327 |
| Wellcare Medicare | Wellcare Medicare Advantage | $337 |
| Fallon Health Medicare Advantage | Fallon Navicare Medicare Advantage | $337 |
| Bcn Domestic | BCBS PPO | $389 |
| Blue Distinction Transplant | BCBS PPO | $389 |
| Blue Cross - Ms | BCBS PPO | $389 |
| Blue Cross - Nv (Anthem) | BCBS PPO | $389 |
| Blue Cross - Nj (Horizon) | BCBS PPO | $389 |
| Blue Cross - Nh (Anthem) | BCBS PPO | $389 |
| Pre-Employment | BCBS PPO | $389 |
| Wc Domestic | BCBS PPO | $389 |
| Kaiser Domestic | BCBS PPO | $389 |
| Blue Benefit Administrators Of Massachusetts | BCBS PPO | $389 |
| Blue Cross - MA | BCBS HMO | $397 |
| Fallon Health | Fallon Community Health Plan | $425 |
| Cigna | Cigna | $443 |
| Allegiance | Cigna | $443 |
| Centivo | Centivo | $654 |
| Innovative Health Plan II | Innovative Health Plan | $707 |
| Claimdoc | Claimdoc | $707 |
Inpatient
$174cash price (self-pay)
$174list price
$30.67–$174range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Njm Insurance Group | Workers Comp | $30.67 |
| Wc Idaho State Ins Fund | Workers Comp | $30.67 |
| Wc Qualcare | Workers Comp | $30.67 |
| Wc Saif Oregon | Workers Comp | $30.67 |
| Green Mountain Medicaid Advantage | Medicaid | $44.33 |
| Massachusetts Behavioral Health Partnership | Medicaid | $44.33 |
| Medicaid - Ms | Medicaid | $44.33 |
| Medicaid - Mt | Medicaid | $44.33 |
| Medicaid - La | Medicaid | $44.33 |
| Medicaid - Me | Medicaid | $44.33 |
| Medicaid - MA | Medicaid | $44.33 |
| Medicaid - Md | Medicaid | $44.33 |
| Medicaid - Ia | Medicaid | $44.33 |
| Medicaid - Ut | Medicaid | $44.33 |
| Medicaid - Ok | Medicaid | $44.33 |
| Medicaid - Ri | Medicaid | $44.33 |
| Meridian Medicaid | Medicaid | $44.33 |
| Blue Plus Mo Medicaid | Medicaid | $44.33 |
| Healthy Blue Plus Mo Medicaid | Medicaid | $44.33 |
| Medicaid - Ar | Medicaid | $44.33 |
| Medicaid - Al | Medicaid | $44.33 |
| Bcccp-Michigan | Medicaid | $44.33 |
| Hap Medicaid | Medicaid | $44.33 |
| Medicaid - Mi | Medicaid | $44.94 |
| Medicaid - Or | Medicaid | $57.62 |
| Rx Allwin | Medicare | $57.87 |
| Molina Medicare Advantage | Medicare | $57.87 |
| Blue Cross - Mn Medicare Advantage | Medicare | $57.87 |
| Blue Cross - IL Medicare Advantage | Medicare | $57.87 |
| Amerihealth Medicare | Medicare | $57.87 |
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