Emergency visit, moderate (level 3) at Faith Regional Health Services. CPT 99283.
What Faith Regional Health Services publishes for this service, straight from its standard-charges file, last updated September 3, 2026.
Outpatient / ER
$522cash price (self-pay)
$895list price
$302–$332range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | Medicare Advantage | $302 |
| Blue Cross Blue Shield of NE | Medicare Advantage | $302 |
| Ambetter | Medicare Advantage | $311 |
| United Healthcare | Medicare Advantage | $311 |
| Wellcare | Medicare Advantage | $311 |
| Good Samaritan Insurance Plan | Medicare Advantage | $317 |
| Great Plains | Medicare Advantage | $317 |
| Medica | Medicare Advantage | $317 |
| Molina | Medicare Advantage | $332 |
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