Emergency visit, moderate (level 3) at Holy Rosary Healthcare. CPT 99283.
What Holy Rosary Healthcare publishes for this service, straight from its standard-charges file, last updated March 22, 2026.
Outpatient / ER
—cash price (self-pay)
$721list price
$103–$705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Allegiance | Allegiance Mmia | $332 |
| Tire Rama | Tire Rama | $332 |
| Pacificsource | Pacificsource Smart Health/Nav Network | $352 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $363 |
| First Choice Health | Boon-Chapman | $363 |
| First Choice Health | First Choice Health | $363 |
| First Choice Health | First Choice Other | $363 |
| First Choice Health | Healthcomp Tpa | $363 |
| Allegiance | Allegiance Group Health | $370 |
| Allegiance | Allegiance Other | $370 |
| Allegiance | Cigna - Commercial | $370 |
| Allegiance | Cigna Sclhs Employees | $370 |
| Allegiance | Silver Bow County Employees | $370 |
| Cigna | Cigna Other | $370 |
| Cigna | Cigna POS/Qpos | $370 |
| Cigna | Cigna PPO | $370 |
| Cigna | Eighth Dist Elect Ben Pln | $370 |
| Meritain Health | Meritain Health | $372 |
| Mt Health Co-Op | Mountain Health Co-Op | $379 |
| Pacificsource | Pacificsource Voyager Network | $384 |
| Geha | Geha | $388 |
| United Healthcare | Golden Rule Ins | $388 |
| United Healthcare | UHC Charter/Navigate | $388 |
| United Healthcare | UHC Exchange Plan | $388 |
| United Healthcare | UHC Other/Supplemental | $388 |
| United Healthcare | Umr-United Med Resources | $388 |
| United Healthcare | United Healthcare | $388 |
| Aetna | Aetna HMO/EPO | $649 |
| Aetna | Aetna POS/Qpos | $649 |
| Aetna | Aetna PPO | $649 |
Inpatient
—cash price (self-pay)
$721list price
$577–$705range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Pacificsource | Pacificsource Smart Health/Nav Network | $577 |
| Ebms-Employee Benefit Mng | Ebms - Employee Benefit | $613 |
| First Choice Health | Boon-Chapman | $613 |
| First Choice Health | First Choice Health | $613 |
| First Choice Health | First Choice Other | $613 |
| First Choice Health | Healthcomp Tpa | $613 |
| Allegiance | Allegiance Group Health | $627 |
| Allegiance | Allegiance Other | $627 |
| Allegiance | Cigna - Commercial | $627 |
| Allegiance | Cigna Sclhs Employees | $627 |
| Allegiance | Silver Bow County Employees | $627 |
| Cigna | Cigna Other | $627 |
| Cigna | Cigna POS/Qpos | $627 |
| Cigna | Cigna PPO | $627 |
| Cigna | Eighth Dist Elect Ben Pln | $627 |
| Mt Health Co-Op | Mountain Health Co-Op | $634 |
| Meritain Health | Meritain Health | $642 |
| Pacificsource | Pacificsource Voyager Network | $642 |
| Aetna | Aetna HMO/EPO | $649 |
| Aetna | Aetna POS/Qpos | $649 |
| Aetna | Aetna PPO | $649 |
| Multiplan Inc | Multiplan Inc Other | $649 |
| Multiplan Inc | Multiplan Inc PPO | $649 |
| BCBS/Anthem | BCBS Mt - Federal | $649 |
| BCBS/Anthem | BCBS Mt POS | $649 |
| BCBS/Anthem | BCBS Mt POS Exchange | $649 |
| Geha | Geha | $663 |
| United Healthcare | Golden Rule Ins | $663 |
| United Healthcare | UHC Charter/Navigate | $663 |
| United Healthcare | UHC Exchange Plan | $663 |
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