Emergency visit, moderate (level 3) at Mercy Hospital Boonville. CPT 99283.
What Mercy Hospital Boonville publishes for this service, straight from its standard-charges file, last updated June 8, 2026.
Outpatient / ER
$216cash price (self-pay)
$760list price
$12.00–$871range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare [20244] | Hb Bnvar Medicare | $221 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Bnvar Uh | $221 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Bnv | $221 |
| United Behavioral Health Medicare Advantage Contracted [320392] | Hb B | $221 |
| Kindful Hospice Contracted [320434] | Hb Bnvar Managed Medicare | $221 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Bnvar Managed Med | $221 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Bnvar Managed Medicare | $221 |
| Medica Medicare Advantage Contracted [320477] | Hb Bnvar Managed Medic | $221 |
| Tricare Contracted [320380] | Hb Bnvar Tricare | $222 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Bnvar Novasys Mcr | $227 |
| Devoted Health Medicare Contracted [320500] | Hb Bnvar Devoted Health | $230 |
| Cigna Medicare Advantage Contracted [320072] | Hb Bnvar Healthspring 1 | $232 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Bnvar Healths | $232 |
| Medicaid [20240] | Hb Bnvar Ok Medicaid | $247 |
| Aetna Medicaid Contracted [320009] | Hb Bnvar Ok Managed Medicaid | $247 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Bnvar Ok MA | $247 |
| Humana Medicaid Contracted [320486] | Hb Bnvar Ok Managed Medicaid | $247 |
| Sunflower Health Plan Contracted [320369] | Hb Bnvar Novasys Ambetter | $305 |
| Centivo Contracted [320505] | Hb Bnvar Centivo Mcr | $364 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar,B | $638 |
| Mercy Benefit Admin Contracted [320251] | Hb Wldar,Ozkar,Prsar,Bnvar D | $638 |
| Edison Health Solutions Contracted [320502] | Hb Wldar,Ozkar,Prsar,Bnv | $638 |
| Preferred Health Plan Contracted [320522] | Hb Bnvar Network Affiliati | $638 |
| Yuzu Health Contracted [320521] | Hb Wldar,Ozkar,Prsar,Bnvar, Bryvl De | $638 |
| Imagine 360 Contracted [320494] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Dec | $638 |
| Ebms Contracted [320493] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv Crader | $638 |
| Reflect Health Contracted [320492] | Hb Wldar,Ozkar,Prsar,Bnvar,Bryv D | $638 |
| Tri State Healthcare Coalition Contracted [320379] | Hb Bnvar Network | $638 |
| 90 Degree Benefits Contracted [320436] | Hb Wldar,Ozkar,Prsar,Bnvar De | $638 |
| Insurance System Inc Contracted [320465] | Hb Bnvar Network Affiliatio | $638 |
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