Emergency visit, moderate (level 3) at CHI Health St. Francis. CPT 99283.
What CHI Health St. Francis publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$569cash price (self-pay)
$964list price
$135–$3,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medica | Commercial|ACO | $135 |
| United | Medicaid|Community Plan | $222 |
| Centene | Medicaid|NE Total Care | $224 |
| Amerigroup | Medicaid|All Plans | $226 |
| Centene | Medicaid|IA Total Care | $226 |
| IAMolina | Medicaid|All Plans | $230 |
| BCBS - NE | Medicare|All Plans | $266 |
| Humana | Medicare|All Plans | $266 |
| Medica | Medicare|All Plans | $266 |
| United | Medicare|All Plans | $266 |
| Centene | Medicare|All Plans | $273 |
| Amerigroup | Medicare|All Plans | $279 |
| Great Plains | Medicare|All Plans | $279 |
| Creighton University Employees | Commercial|All Plans | $530 |
| AMPS | Commercial|All Plans | $589 |
| United | Commercial|All Plans | $607 |
| ELAP | Commercial|All Plans | $617 |
| Medica | Commercial|Open Access | $800 |
| Midlands Choice | Commercial|Premier | $800 |
| Medica | Commercial|CHI Health | $880 |
| Midlands Choice | Commercial|Standard | $906 |
| MultiPlan PHCS | Commercial|All Plans | $906 |
| Medica | Commercial|All Other Plans | $1,034 |
| Greater Omaha Packing | Commercial|Narrow Network | $2,782 |
| Millard Public Schools | Commercial|Narrow Network | $2,782 |
| One World | Commercial|Narrow Network | $2,782 |
| Greater Omaha Packing | Commercial|Broad Network | $3,200 |
| Millard Public Schools | Commercial|Broad Network | $3,200 |
| One World | Commercial|Broad Network | $3,200 |
| Timpte | Commercial|Broad Network | $3,200 |
Inpatient
$569cash price (self-pay)
$964list price
$530–$906range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Creighton University Employees | Commercial|All Plans | $530 |
| United | Commercial|All Plans | $771 |
| Medica | Commercial|Open Access | $800 |
| Midlands Choice | Commercial|Premier | $800 |
| Midlands Choice | Commercial|Standard | $906 |
| MultiPlan PHCS | Commercial|All Plans | $906 |
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