Emergency visit, moderate (level 3) at Dover Er. CPT 99283.
What Dover Er publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,374cash price (self-pay)
$3,374list price
$139–$3,205range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $139 |
| Well Sense Health Plan | MCD | $276 |
| Aetna | EPO | $792 |
| Aetna | HMO | $792 |
| Aetna | POS | $792 |
| Aetna | PPO | $792 |
| United | FreedomBenefitPlans | $867 |
| Maine Community Health | Individual | $1,055 |
| Maine Community Health | SmallGroup | $1,055 |
| Tufts Health Plan | HMO | $1,269 |
| Tufts Health Plan | PPO | $1,269 |
| Anthem | INDEMNITY | $1,495 |
| Anthem Maine | INDEMNITY | $1,495 |
| United | AllPayerAppendix | $1,545 |
| Maine Community Health | LargeGroup | $1,788 |
| Tufts Health Plan | POS | $1,930 |
| Anthem | BlueChoice | $2,075 |
| Anthem Maine | BlueChoice | $2,075 |
| Cigna | HMO | $2,084 |
| United | OptionsPPO | $2,227 |
| Anthem | HMO | $2,306 |
| Anthem | POS | $2,306 |
| Anthem Maine | HMO | $2,306 |
| Anthem Maine | POS | $2,306 |
| CorVel | WorkersComp | $2,429 |
| Cigna | PPO | $2,524 |
| EverNorth | COMM | $2,699 |
| Mutual of Omaha | COMM | $2,699 |
| Claritev (MultiPlan) | COMM | $2,733 |
| Anthem | FEP | $2,873 |
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