Emergency visit, moderate (level 3) at Henry Ford Providence Southfield Hospital. CPT 99283.

What Henry Ford Providence Southfield Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.

Outpatient / ER

$712cash price (self-pay)

$1,271list price

$69.18–$738range insurers pay

Insurance plan	Negotiated rate
Hap Alliance Health \| 1212_sjpk,Sjpr Ahlic 20241001	$69.18
Hap HMO POS \| 1217_sjpk,Sjpr Hap HMO 20241001	$69.18
Hap Preferred \| 1210_sjpk,Sjpr Hap Preferred 20241001	$81.57
Jvhl - Medicaid Replacement \| 1245_sjpk,Sjpr Medicaid Replacement HMO	$103
Molina Health \| 1081_sjpk,Sjpr Medicaid Replacement Molina Health Inpa	$103
Health Plan Of Mi Medicaid HMO \| 1083_sjpk,Sjpr Meridian Health Inpati	$103
Jvhl - Medicaid Replacement \| 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie	$103
Great Lakes- UHC Community Plan \| 1247_sjpk,Sjpr Medicaid Replacement	$157
Harbor Health Mcd \| 1243_sjpr Medicaid Repleacement Harbor Health Outp	$157
Health Plan Of Mi Medicaid HMO \| 1262_sjpk,Sjpr Medicaid Replacement M	$157
Medicaid \| 1263_sjpk,Sjpr Mi Medicaid Outpatient 20250101	$157
Medicaid Replacement \| 1242_sjpr Medicaid HMO Outpatient 20250101	$157
Molina Health \| 1264_sjpk,Sjpr Medicaid Replacement Molina Health Outp	$157
Omnicare Medicaid HMO \| 1244_sjpr Medicaid Repleacement Omnicare Outpa	$157
Total Health Care \| 1246_sjpk,Sjpr Medicaid Replacement Total Health C	$157
Amerihealth Vip Care Mcr \| 1254_sjpk,Sjpr Medicare Advantage Ameriheal	$233
Aetna Medicare \| 1255_sjpk,Sjpr Medicare Advantage Aetna Outpatient 20	$271
Auto Insurance \| 1257_sjpk,Sjpr Auto Insurance Outpatient 20250101	$271
Jvhl - Mcr Replacement \| 1251_sjpk,Sjpr Medicare Advantage Jvhl Outpat	$271
Mcr Replacement \| 1253_sjpk,Sjpr Medicare Advantage HMO Outpatient 202	$271
Veterans Choice \| 1256_va Optum Health Outpatient 20250101	$271
Humana Mcr \| 1252_sjpk,Sjpr Medicare Advantage Humana Outpatient 20250	$274
Meridian Wellcare \| 1250_sjpk,Sjpr Medicare Advantage Meridian Wellcar	$285
Molina Advantage \| 1249_sjpk,Sjpr Medicare Advantage Molina Outpatient	$285
Meridian Ambetter \| 1258_sjpk,Sjpr Meridian Ambetter Outpatient 202501	$339
Molina Marketplace \| 1259_sjpk,Sjpr Molina Marketplace Outpatient 2025	$339
Smart Health \| 1261_sjpk,Sjpr Smart Health Outpatient 20250101	$374
Bc Metro Detroit EPO \| 1127_sjpr Blue Cross Blue Shield Metro Detroit	$498
Bc Metro Detroit HMO \| 1133_sjpr Blue Cross Blue Shield Metro Detroit	$498
Bcn Local Network Southeast \| 1131_sjpr Blue Cross Blue Shield Bcn Loc	$498

Inpatient

—cash price (self-pay)

—list price

$157–$374range insurers pay

Insurance plan	Negotiated rate
Amerihealth Vip Care Mcr \| 1174_sjpk,Sjpr Medicare Advantage Ameriheal	$269
Aetna Medicare \| 1171_sjpk,Sjpr Medicare Advantage Aetna Inpatient 202	$271
Auto Insurance \| 1219_sjpk,Sjpr Auto Insurance Inpatient 20241001	$271
Health Plan Of Mi Medicaid HMO \| 1083_sjpk,Sjpr Meridian Health Inpati	$271
Jvhl - Mcr Replacement \| 1180_sjpk,Sjpr Medicare Advantage Jvhl Inpati	$271
Jvhl - Medicaid Replacement \| 1079_sjpk,Sjpr Medicaid HMO Jvhl Inpatie	$271
Mcr Replacement \| 1183_sjpk,Sjpr Medicare Advantage HMO Inpatient 2024	$271
Veterans Choice \| 1230_va Optum Health Inpatient 20241001	$271
Humana Mcr \| 1177_sjpk,Sjpr Medicare Advantage Humana Inpatient 202410	$274
Meridian Wellcare \| 1189_sjpk,Sjpr Medicare Advantage Meridian Wellcar	$285
Molina Advantage \| 1192_sjpk,Sjpr Medicare Advantage Molina Inpatient	$285
Meridian Ambetter \| 1221_sjpk,Sjpr Meridian Ambetter Inpatient 2024100	$339
Molina Marketplace \| 1223_sjpk,Sjpr Molina Marketplace Inpatient 20241	$339
Smart Health \| 1227_sjpk,Sjpr Smart Health Inpatient 20241001	$374

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All common services at Henry Ford Providence Southfield Hospital