Emergency visit, moderate (level 3) at Holland Hospital. CPT 99283.
What Holland Hospital publishes for this service, straight from its standard-charges file, last updated September 21, 2026.
Outpatient / ER
$68.40cash price (self-pay)
$118list price
$44.94–$1,579range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Mcaid - All Plans | Molina Mcaid - All Plans | $44.94 |
| Ph Mcaid | Ph Mcaid | $44.94 |
| UHC Mcaid | UHC Mcaid | $44.94 |
| Meridian Mcaid Profee Only-All Plans | Meridian Mcaid Profee Only-All | $44.94 |
| UHC All Payer - All Other Plans | UHC All Payer - All Other Plans | $50.00 |
| Life Circles-All Plans | Life Circles-All Plans | $66.04 |
| Health Alliance Mcr Adv | Health Alliance Mcr Adv | $69.52 |
| Ph Mcr Adv | Ph Mcr Adv | $69.52 |
| Va Ccn - All Plans | Va Ccn - All Plans | $69.52 |
| UHC Mcr Adv | UHC Mcr Adv | $69.52 |
| Aetna Mcr Adv | Aetna Mcr Adv | $71.61 |
| Longevity Health Plan-All Plans | Longevity Health Plan-All Plans | $75.08 |
| Nomi Health - All Plans | Nomi Health - All Plans | $84.00 |
| Aetna Existing Bus - All Other Plans | Aetna Existing Bus - All Other | $90.20 |
| Aetna New Bus | Aetna New Bus | $90.20 |
| Cofinity -All Plans | Cofinity -All Plans | $90.20 |
| First Health-All Plans | First Health-All Plans | $90.38 |
| Blue Care Network - All Plans | Blue Care Network - All Plans | $105 |
| Cigna - All Plans | Cigna - All Plans | $109 |
| BCBS - All Plans | BCBS - All Plans | $112 |
| Sisco-All Other Plans | Sisco-All Other Plans | $113 |
| Priority Health - All Other Plans | Priority Health - All Other Plans | $114 |
| Asr - All Plans | Asr - All Plans | $126 |
| Health Alliance Ahl - All Other Plans | Health Alliance Ahl - All Othe | $126 |
| Health Alliance HMO | Health Alliance HMO | $126 |
| Benefit Source Inc-All Plans | Benefit Source Inc-All Plans | $131 |
| Multiplan - All Plans | Multiplan - All Plans | $132 |
| Sisco Epi | Sisco Epi | $227 |
| Usa Managed Care-All Plans | Usa Managed Care-All Plans | $517 |
| Integrated Health Plans-All Plans | Integrated Health Plans-All Plans | $545 |
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