Emergency visit, moderate (level 3) at Trinity Health Grand Rapids. CPT 99283.
What Trinity Health Grand Rapids publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$528cash price (self-pay)
$148list price
$44.30–$814range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mclaren Health Medicaid | Mclaren Medicaid | $152 |
| Blue Cross Complete - Mi | Blue Cross Complete Medicaid | $152 |
| Molina Medicaid | Molina Medicaid | $155 |
| Access Health | Access Health | $190 |
| Molina Medicare Advantage | Molina Medicare Advantage | $267 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $267 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $267 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $267 |
| Hap Medicare Advantage | Hap Medicare Advantage | $267 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $267 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $307 |
| Blue Care Network | Bcn HMO | $415 |
| Blue Cross - Nh (Anthem) | BCBS Trad / Trust | $415 |
| Blue Cross - Nj (Horizon) | BCBS Trad / Trust | $415 |
| Blue Cross - Nm | BCBS Trad / Trust | $415 |
| Blue Shield - NY Highmark Northeastern | BCBS Trad / Trust | $415 |
| Blue Cross - Ms | BCBS Trad / Trust | $415 |
| Blue Shield - CA | BCBS Trad / Trust | $415 |
| Blue Cross - Co (Anthem) | BCBS Trad / Trust | $415 |
| Blue Shield - Pa (Highmark) | BCBS Trad / Trust | $415 |
| Blue Cross - Sc | BCBS Trad / Trust | $415 |
| Blue Cross - Ri | BCBS Trad / Trust | $415 |
| Blue Cross - Ky (Anthem) | BCBS Trad / Trust | $415 |
| Blue Cross - La | BCBS Trad / Trust | $415 |
| Blue Cross - Me (Anthem) | BCBS Trad / Trust | $415 |
| Blue Cross - Md (Carefirst) | BCBS Trad / Trust | $415 |
| Blue Cross - MA | BCBS Trad / Trust | $415 |
| Blue Cross - Id | BCBS Trad / Trust | $415 |
| BCBS Generic | BCBS Trad / Trust | $415 |
| Blue Shield - Id (Regence) | BCBS Trad / Trust | $415 |
Inpatient
—cash price (self-pay)
$174list price
$44.30–$174range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cmh Ottawa County | Medicaid | $44.30 |
| Cmh Lenawee County | Medicaid | $44.30 |
| Cmh Livingston County | Medicaid | $44.30 |
| Hennepin Health | Medicaid | $44.30 |
| Rx Allwin | Medicare | $68.13 |
| Care Wisconsin Medicare | Medicare | $68.13 |
| Hap Medicare Advantage | Hap Medicare Advantage | $68.13 |
| Medical Mutual Medicare | Medicare | $68.13 |
| Phoenix Medicare Advantage | Medicare | $68.13 |
| Cigna Medicare Advantage | Medicare | $68.13 |
| Careplus Health Plans | Medicare | $68.13 |
| Blue Cross - Mn Medicare Advantage | Medicare | $68.13 |
| Blue Cross - IL Medicare Advantage | Medicare | $68.13 |
| Avmed Medicare | Medicare | $68.13 |
| Ucare Medicare | Medicare | $68.13 |
| Molina Medicare Advantage | Molina Medicare Advantage | $68.13 |
| Network Medicare Advantage | Medicare | $68.13 |
| Upper Peninsula Health Plan (Uphp) Medicare | Medicare | $68.13 |
| Humana Medicare Advantage | Humana Medicare Advantage | $68.13 |
| Caresource Medicare | Medicare | $68.13 |
| Osu Prime Care Advantage | Medicare | $68.13 |
| Medigold Medicare Advantage | Medicare | $68.13 |
| Meridian Complete | Medicare | $68.13 |
| Peak Pace Solutions | Medicare | $68.13 |
| The Health Plan | Medicare | $68.13 |
| Security Health Medicare | Medicare | $68.13 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $68.13 |
| Allwell Medicare Advantage | Medicare | $68.13 |
| Blue Cross - Wi (Anthem) Medicare Advantage | Medicare | $68.13 |
| Icare Medicare Advantage | Medicare | $68.13 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.