Emergency visit, moderate (level 3) at Methodist Fremont Hospital. CPT 99283.
What Methodist Fremont Hospital publishes for this service, straight from its standard-charges file, last updated February 16, 2026.
Outpatient / ER
$92.50cash price (self-pay)
$882list price
$106–$1,557range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Elite Choice | Elite Choice | $123 |
| Ambetter by NE Total Care | Ambetter by NE Total Care | $132 |
| BCBS | BCBS Select | $150 |
| BCBS | BCBS | $158 |
| Midlands Choice | Midlands Choice | $165 |
| Elevate by Medica | Elevate by Medica | $181 |
| Medica | Medica Medicare Advantage | $191 |
| Molina Medicare Advantage | Molina Medicare Advantage | $191 |
| Alliance NHN | Alliance NHN | $213 |
| Medica Choice | Medica Choice | $213 |
| Wellcare Medicare Advantage | Wellcare Medicare Advantage by NE Total | $213 |
| NE Furniture Mart | NE Furniture Mart | $255 |
| United Healthcare | UHC | $255 |
| Aetna | Aetna Medicare Advantage | $255 |
| United Healthcare | UHC Medicare Advantage | $255 |
| BCBS | BCBS Medicare Advantage | $276 |
| Humana | Humana Medicare Advantage | $299 |
| Multiplan | Multiplan | $383 |
| Aetna | Aetna | $408 |
Inpatient
$326cash price (self-pay)
$882list price
$732–$847range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NE Furniture Mart | NE Furniture Mart | $732 |
| BCBS | BCBS | $750 |
| BCBS | BCBS Select | $750 |
| Medica Choice | Medica Choice | $776 |
| Multiplan | Multiplan | $794 |
| United Healthcare | UHC | $795 |
| Midlands Choice | Midlands Choice | $829 |
| Aetna | Aetna | $847 |
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