Emergency visit, moderate (level 3) at Trinity Health Livonia Hospital. CPT 99283.
What Trinity Health Livonia 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 | $149 |
| Hap Medicaid | Hap Caresource Medicaid | $152 |
| Mclaren Health Medicaid | Mclaren Medicaid | $152 |
| Varipro | Hap Ahlic | $178 |
| Asr Health Benefits | Hap Ahlic | $178 |
| Blue Cross - Mi Medicare Advantage | BCBS Medicare Advantage | $267 |
| Molina Medicare Advantage | Molina Medicare Advantage | $267 |
| Priority Health Medicare Advantage | Priority Health Medicare Advantag | $267 |
| Blue Care Network Advantage | Bcn Medicare Advantage | $267 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $267 |
| Hap Medicare Advantage | Hap Medicare Advantage | $267 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $280 |
| Longevity Ipa Of Michigan LLC Health Plan Isnp | Longevity Ipa Medicar | $307 |
| Blue Care Network | Bcn HMO | $339 |
| Blue Cross - Wv (Highmark) | BCBS Trad / Trust | $339 |
| Blue Cross - Id | BCBS Trad / Trust | $339 |
| Blue Cross - Ky (Anthem) | BCBS Trad / Trust | $339 |
| Blue Cross - Me (Anthem) | BCBS Trad / Trust | $339 |
| Blue Cross - La | BCBS Trad / Trust | $339 |
| Blue Cross - Nm | BCBS Trad / Trust | $339 |
| Blue Cross - Va (Carefirst) | BCBS Trad / Trust | $339 |
| Blue Distinction Transplant | BCBS Trad / Trust | $339 |
| Blue Cross - Va (Anthem) | BCBS Trad / Trust | $339 |
| Blue Cross - MA | BCBS Trad / Trust | $339 |
| Blue Cross - Md (Carefirst) | BCBS Trad / Trust | $339 |
| Blue Benefit Administrators Of Massachusetts | BCBS Trad / Trust | $339 |
| Blue Cross - Nv (Anthem) | BCBS Trad / Trust | $339 |
| Kaiser Domestic | BCBS Trad / Trust | $339 |
| Blue Cross - TX | BCBS Trad / Trust | $339 |
| Blue Cross - Ut (Regence) | BCBS Trad / Trust | $339 |
Inpatient
—cash price (self-pay)
$139list price
$44.94–$139range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cmh Clinton-Eaton-Ingham County | Medicaid | $44.94 |
| Cmh Central Mi County | Medicaid | $44.94 |
| Cmh Ionia County | Medicaid | $44.94 |
| Cmh Genesee County | Medicaid | $44.94 |
| Cmh Kent County | Medicaid | $44.94 |
| Cmh Jackson County/Lifeways | Medicaid | $44.94 |
| Community Care Partners | Medicaid | $44.94 |
| Tenncare | Medicaid | $44.94 |
| Molina Centennial Care | Medicaid | $44.94 |
| Rx Allwin | Medicare | $72.26 |
| Blue Cross - Ne Medicare Advantage | Medicare | $72.26 |
| Blue Cross - NY (Anthem) Medicare Advantage | Medicare | $72.26 |
| Hap Empowered Mi Health Link Medicare Dual | Medicare | $72.26 |
| Connecticare Vip Medicare | Medicare | $72.26 |
| Upmc Medicare Advantage | Medicare | $72.26 |
| Blue Cross - Ky (Anthem) Medicare Advantage | Medicare | $72.26 |
| Intercare | Cofinity | $80.62 |
| Wc Guard Insurance Company | Cofinity Workers Comp | $102 |
| Wc Fcci | Cofinity Workers Comp | $102 |
| Wc Amerisure | Cofinity Workers Comp | $102 |
| Wc North American Rishces | Workers Comp | $107 |
| Wc Cna | Workers Comp | $107 |
| Wc Guarantee Insurance | Workers Comp | $107 |
| Rx Restat | Workers Comp | $107 |
| Wc City Of Albany | Workers Comp | $107 |
| Jag Source | Workers Comp | $107 |
| Andrie Inc | Workers Comp | $107 |
| Blue Cross - Va (Carefirst) | BCBS Trust Trad | $112 |
| Blue Cross - Va (Anthem) | BCBS Trust Trad | $112 |
| Blue Shield - Wa (Regence) | BCBS Trust Trad | $112 |
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