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

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

Outpatient / ER

$472cash price (self-pay)

$943list price

$135–$1,817range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|ACO	$135
United \| Medicaid\|Community Plan	$217
Centene \| Medicaid\|NE Total Care	$219
Amerigroup \| Medicaid\|All Plans	$226
Centene \| Medicaid\|IA Total Care	$226
IAMolina \| Medicaid\|All Plans	$230
BCBS - NE \| Medicare\|All Plans	$267
Great Plains \| Medicare\|All Plans	$267
Humana \| Medicare\|All Plans	$267
Medica \| Medicare\|All Plans	$267
United \| Medicare\|All Plans	$267
Centene \| Medicare\|All Plans	$275
Amerigroup \| Medicare\|All Plans	$281
ELAP \| Commercial\|All Plans	$538
Medica \| Commercial\|Open Access	$585
Midlands Choice \| Commercial\|Premier	$585
AMPS \| Commercial\|All Plans	$593
Midlands Choice \| Commercial\|Standard	$651
MultiPlan PHCS \| Commercial\|All Plans	$802
Medica \| Commercial\|CHI Health	$880
Medica \| Commercial\|All Other Plans	$1,034
Greater Omaha Packing \| Commercial\|Narrow Network	$1,510
Millard Public Schools \| Commercial\|Narrow Network	$1,510
One World \| Commercial\|Narrow Network	$1,510
Creighton University Employees \| Commercial\|All Plans	$1,528
Greater Omaha Packing \| Commercial\|Broad Network	$1,736
Millard Public Schools \| Commercial\|Broad Network	$1,736
One World \| Commercial\|Broad Network	$1,736
Timpte \| Commercial\|Broad Network	$1,736
United \| Commercial\|All Plans	$1,817

$472cash price (self-pay)

$943list price

$585–$754range insurers pay

Insurance plan	Negotiated rate
Medica \| Commercial\|Open Access	$585
Midlands Choice \| Commercial\|Premier	$585
MultiPlan PHCS \| Commercial\|All Plans	$754

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