Emergency visit, moderate (level 3) at Roosevelt Medical Center. CPT 99283.
What Roosevelt Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$134cash price (self-pay)
$442list price
$84.28–$750range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UnitedHeathcare | PPO | $395 |
| Three Rivers Provider Network | TRPN workers Comp | $398 |
| Blue Cross Blue Sheild | PPO | $402 |
| Mountain Health Co-op | PPO/POS | $415 |
| PacificSource | PPO | $417 |
| Allegiance | PPO | $417 |
| Blue Cross Blue Shield | Traditional | $425 |
| EBMS | SelectCare Network | $429 |
| Interwest | PPO | $432 |
| Three Rivers Provider Network | TRPN commercial plans | $433 |
| Interwest | Traditional Network | $436 |
| First Choice Health Network | Standard/Equitable Plans | $668 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.