Emergency visit, moderate (level 3) at CHI Health Midlands. CPT 99283.

What CHI Health Midlands publishes for this service, straight from its standard-charges file, last updated February 28, 2026.

Outpatient / ER

$651cash price (self-pay)

$1,550list price

$135–$1,553range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|ACO	$135
Amerigroup \| Medicaid\|All Plans	$226
Centene \| Medicaid\|IA Total Care	$226
IAMolina \| Medicaid\|All Plans	$230
BCBS - NE \| Medicare\|All Plans	$270
Humana \| Medicare\|All Plans	$270
Medica \| Medicare\|All Plans	$270
PACE \| Medicare\|All Plans	$270
United \| Medicare\|All Plans	$270
Todays Options \| Medicare\|All Plans	$275
Centene \| Medicare\|All Plans	$278
Centene \| Medicaid\|NE Total Care	$279
United \| Medicaid\|Community Plan	$279
Amerigroup \| Medicare\|All Plans	$283
Great Plains \| Medicare\|All Plans	$283
ELAP \| Commercial\|All Plans	$434
AMPS \| Commercial\|All Plans	$599
Medica \| Commercial\|CHI Health	$652
Medica \| Commercial\|Open Access	$806
Midlands Choice \| Commercial\|Premier	$806
Medica \| Commercial\|All Other Plans	$890
QuikTrip \| Commercial\|All Plans	$930
Midlands Choice \| Commercial\|Standard	$1,163
PHCS \| Commercial\|All Plans	$1,163
Creighton University Employees \| Commercial\|All Plans	$1,218
MultiPlan \| Commercial\|All Plans	$1,318
Greater Omaha Packing \| Commercial\|Narrow Network	$1,350
Millard Public Schools \| Commercial\|Narrow Network	$1,350
One World \| Commercial\|Narrow Network	$1,350
United \| Commercial\|All Plans	$1,475

$651cash price (self-pay)

$1,550list price

$930–$1,318range insurers pay

Insurance plan	Negotiated rate
QuikTrip \| Commercial\|All Plans	$930
PHCS \| Commercial\|All Plans	$1,101
MultiPlan \| Commercial\|All Plans	$1,318

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