Emergency visit, moderate (level 3) at Calais Community Hospital. CPT 99283.
What Calais Community Hospital publishes for this service, straight from its standard-charges file.
Outpatient / ER
$105cash price (self-pay)
$276list price
$25.00–$454range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicare Advantage | $29.00 |
| United Healthcare | Medicare Advantage | $29.00 |
| Humana | Commercial | $116 |
| Martins Point Generation | Commercial | $116 |
| Wellcare | HMO | $116 |
| Partners Direct Health | Commercial | $160 |
| Anthem | Commercial | $226 |
| Aetna | Commercial | $237 |
| United Healthcare | PPO | $243 |
| Cigna | Commercial | $251 |
| Harvard Pilgrim | Commercial | $254 |
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