Emergency visit, moderate (level 3) at Chelsea Hospital. CPT 99283.
What Chelsea Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$714cash price (self-pay)
$1,099list price
$49.16–$1,099range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Medicaid | Molina Medicaid | $155 |
| U Of M Health Plan | University Of Michigan Health Plan PPO | $159 |
| Varipro | Hap Ahlic | $163 |
| Blue Cross - Mi | BCBS Mi Local HMO | $247 |
| Hap Medicare Advantage | Hap Medicare Advantage | $268 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $268 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $268 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $268 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $268 |
| Molina Medicare Advantage | Molina Medicare Advantage | $268 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $281 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $308 |
| Blue Cross - CA (Anthem) | BCBS Trad / Trust | $388 |
| Blue Benefit Administrators Of Massachusetts | BCBS Trad / Trust | $388 |
| Blue Cross - Ks | BCBS Trad / Trust | $388 |
| Blue Cross - Az | BCBS Trad / Trust | $388 |
| Blue Cross - Mo (Anthem) | BCBS Trad / Trust | $388 |
| Blue Shield - NY Highmark Northeastern | BCBS Trad / Trust | $388 |
| Blue Cross - IL Alternate | BCBS Trad / Trust | $388 |
| Blue Cross - NY (Anthem) | BCBS Trad / Trust | $388 |
| Blue Cross - Mi | BCBS Trad / Trust | $388 |
| Blue Cross - IL | BCBS Trad / Trust | $388 |
| Blue Cross - Wi (Anthem) | BCBS Trad / Trust | $388 |
| Blue Cross - Mn | BCBS Trad / Trust | $388 |
| Blue Cross - Pa (Capital) | BCBS Trad / Trust | $388 |
| Blue Shield - Pa (Highmark) | BCBS Trad / Trust | $388 |
| Blue Cross - Ri | BCBS Trad / Trust | $388 |
| Blue Care Network | Bcn HMO | $388 |
| Blue Cross - Nc | BCBS Trad / Trust | $388 |
| Blue Cross - Ok | BCBS Trad / Trust | $388 |
Inpatient
—cash price (self-pay)
$139list price
$44.94–$139range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid - Mi | Medicaid | $44.94 |
| Total Health Care Medicaid | Medicaid | $44.94 |
| St Joseph County Hlth Dpt | Medicaid | $44.94 |
| Cmh Macomb | Medicaid | $44.94 |
| Childrens Medical Services Title 19 | Medicaid | $44.94 |
| Independent Care Medicaid | Medicaid | $44.94 |
| Wellsense Health Plan | Medicaid | $44.94 |
| Medicaid - Ct | Medicaid | $44.94 |
| Medicaid - Al | Medicaid | $44.94 |
| Medicaid - Wv | Medicaid | $44.94 |
| Dph Tb Program | Medicaid | $44.94 |
| Medicaid - NY Ssl | Medicaid | $44.94 |
| Screening For Life | Medicaid | $44.94 |
| Rx Allwin | Medicare | $61.42 |
| Blue Cross - Pa (Independence) Medicare Advantage | Medicare | $61.42 |
| Health America Advantra | Medicare | $61.42 |
| Fresno Pace Medicare | Medicare | $61.42 |
| Solis Health Plans | Medicare | $61.42 |
| Humana Central Valley Medpro | Medicare | $61.42 |
| Simply Healthcare Medicare Advantage | Medicare | $61.42 |
| Medica Medicare Advantage | Medicare | $61.42 |
| Eon Health Medicare Advantage | Medicare | $61.42 |
| Health Alliance Medicare Advantage | Medicare | $61.42 |
| Healthnet Medicare Advantage | Medicare | $61.42 |
| Unicare Medicare Advantage | Medicare | $61.42 |
| Care Resources Pace | Medicare | $61.42 |
| Eddy Seniorcare Pace | Medicare | $61.42 |
| Aurora Special Needs | Medicare | $61.42 |
| Blue Cross - Ia (Wellmark) Medicare Advantage | Medicare | $61.42 |
| Wc Hartford | Cofinity Workers Comp | $86.30 |
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