Emergency visit, moderate (level 3) at Franklin Memorial Hospital. CPT 99283.
What Franklin Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$245cash price (self-pay)
$402list price
$70.30–$1,202range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $70.30 |
| Aetna | Medicare Advantage | $119 |
| Anthem | Medicare Advantage | $124 |
| United Healthcare | Medicare Advantage | $124 |
| Wellcare | Medicare Advantage | $127 |
| Aetna | MHACO Commercial | $139 |
| Aetna | HMO/PPO | $255 |
| Harvard Pilgrim Healthcare | Maine's Choice | $279 |
| Cigna | Commercial | $295 |
| Harvard Pilgrim Healthcare | Commercial | $303 |
| Community Health Options | Commercial | $315 |
| United Healthcare | Commercial | $316 |
| Multiplan | Commercial | $326 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $655 |
Inpatient
$558cash price (self-pay)
$558list price
$423–$525range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $423 |
| Aetna | HMO/PPO | $426 |
| Cigna | Commercial | $467 |
| Harvard Pilgrim Healthcare | Commercial | $470 |
| Community Health Options | Commercial | $487 |
| United Healthcare | Commercial | $498 |
| Multiplan | Commercial | $525 |
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