Emergency visit, moderate (level 3) at Gundersen St. Elizabeth Hospital and Clinics. CPT 99283.
What Gundersen St. Elizabeth Hospital and Clinics publishes for this service, straight from its standard-charges file, last updated June 27, 2026.
Outpatient / ER
$488cash price (self-pay)
$802list price
$50.90–$1,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem | Medicaid | $50.90 |
| Group Health of South Central | Medicaid HMO | $50.90 |
| Iowa Total Care | Medicaid | $50.90 |
| Managed Health Service | Managed Medicaid | $50.90 |
| Quartz | Medicaid_Badgercare | $50.90 |
| South County | Managed Medicaid | $50.90 |
| Bcbsmn | Mhcp | $199 |
| Quartz | All Products | $339 |
| Quartz | All Other Self Funded | $353 |
| Quartz | Self Funded | $377 |
| Quartz | Level Funded | $389 |
| Health Partners | Medicaid HMO | $401 |
| Medica | AccessAbilty Solution | $416 |
| Medica | Minnesota Care | $416 |
| Aetna | Medicare Advantage | $433 |
| Quartz | Fully Insured | $437 |
| Medica | Medicare Advantage | $441 |
| Health Partners | Medicare Cost | $481 |
| Anthem | Medicare HMO/PPO | $521 |
| Health Partners | Medicare Advantage | $521 |
| Humana | Medicare Advantage | $521 |
| Quartz | Medicare Advantage | $521 |
| South County | Managed Medicare | $521 |
| UCARE | Dually Eligible | $521 |
| UCARE | Non-Dually Eligible | $521 |
| BCBSMN | All Products | $552 |
| Alliance | Premier/All Products | $633 |
| Alliance | Comprehensive/All Products | $633 |
| Group Health of South Central | All Products | $642 |
| Trilogy | All Products | $642 |
Inpatient
$488cash price (self-pay)
$802list price
$199–$770range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Quartz | All Other Self Funded | $472 |
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All common services at Gundersen St. Elizabeth Hospital and Clinics