Emergency visit, moderate (level 3) at Franciscan Healthcare. CPT 99283.
What Franciscan Healthcare publishes for this service, straight from its standard-charges file, last updated March 18, 2026.
Outpatient / ER
$264cash price (self-pay)
$602list price
$73.93–$902range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Blue Shield of Nebraska | Medicare Advantage | $244 |
| Humana | Medicare Advantage | $244 |
| Medica | Medicare Advantage | $244 |
| Nebraska Total Care | Medicare Products | $249 |
| Aetna | Medicare Advantage | $256 |
| Good Samaritan Insurance Plan of Nebraska | Medicare Advantage | $256 |
| Molina Healthcare of Nebraska | Medicare Advantage | $256 |
| Nebraska Total Care | Managed Medicaid | $357 |
| United Healthcare of the Midlands | Community Plan | $357 |
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $367 |
| Aetna Coventry | HMO | $578 |
| Midlands Choice | All Plans | $578 |
| United Healthcare | All Commercial Plans | $578 |
| Medica | Commercial Products | $855 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $893 |
| Medica | Individual and Family Business Products-Care System Products | $902 |
Inpatient
$940cash price (self-pay)
$940list price
$470–$902range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina Healthcare of Nebraska | Managed Medicaid/CHIP | $470 |
| Blue Cross Blue Shield of Nebraska | Blueprint Health | $893 |
| Aetna Coventry | HMO | $902 |
| Midlands Choice | All Plans | $902 |
| United Healthcare | All Commercial Plans | $902 |
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