Emergency visit, moderate (level 3) at Maple Grove Hospital. CPT 99283.
What Maple Grove Hospital publishes for this service, straight from its standard-charges file, last updated September 25, 2026.
Outpatient / ER
$338cash price (self-pay)
$642list price
$220–$874range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross [1021] | Mgh BCBS Pmap | $220 |
| Medicaid [1087] | Mgh Medicaid Mn | $229 |
| Blue Cross [1021] | Mgh BCBS Msho | $280 |
| Humana [2203] | Mgh Humana Med Adv | $280 |
| Medicare [1088] | Mgh Medicare | $280 |
| Ucare [1148] | Mgh Ucare Pmap | $280 |
| Health Partners [1061] | Mgh Hp Med Adv | $281 |
| Medica [1086] | Mgh Medica Med Adv | $283 |
| Ucare [1148] | Mgh Ucare Med Adv | $289 |
| Blue Cross [1021] | Mgh BCBS Med Adv | $289 |
| Ucare [1148] | Mgh Ucare Msho | $289 |
| United Healthcare [2204] | Mgh UHC Med Adv | $291 |
| Allina Health-Aetna [2201] | Mgh Allina Health Aetna Medicare | $304 |
| Medica [1086] | Medica Choice Care | $360 |
| Medica [1086] | Mgh Medica Msho | $430 |
| America'S PPO [1010] | America'S PPO Healthez Reimbursement Contract | $435 |
| America'S PPO [1010] | America'S PPO Reimbursement Contract | $462 |
| AETNA [2200] | Aetna Commercial/First Health | $482 |
| Phcs [1172] | Phcs Reimbursement Contract | $482 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Federal | $496 |
| Blue Cross [1021] | Mgh Xr Hb BCBS Aware | $505 |
| Ucare [1148] | Mgh Ucare Ifb | $512 |
| Multiplan [1176] | Multiplan Reimbursement Contract | $514 |
| Medica [1086] | Medica Acclaim | $793 |
| Medica [1086] | Medica Fv Nm - Aco Vantage | $814 |
| MEDICA [1086] | MEDICA COMMERCIAL (With WH) | $874 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.