Emergency visit, moderate (level 3) at Frisbie Memorial Hospital. CPT 99283.
What Frisbie Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$1,509cash price (self-pay)
$1,521list price
$124–$4,826range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $125 |
| Well Sense Health Plan | MCD | $186 |
| Maine Community Health | Individual | $434 |
| Maine Community Health | SmallGroup | $434 |
| Tufts Health Plan | HMO | $522 |
| Tufts Health Plan | PPO | $522 |
| United | FreedomBenefitPlans | $522 |
| Anthem | INDEMNITY | $608 |
| United | AllPayerAppendix | $637 |
| Maine Community Health | LargeGroup | $735 |
| Aetna | EPO | $792 |
| Aetna | HMO | $792 |
| Aetna | POS | $792 |
| Aetna | PPO | $792 |
| Tufts Health Plan | POS | $870 |
| United | OptionsPPO | $917 |
| EverNorth | COMM | $1,217 |
| Cigna | HMO | $1,933 |
| Anthem | BlueChoice | $2,201 |
| Anthem | HPN | $2,310 |
| Cigna | PPO | $2,476 |
| Anthem | HMO | $2,567 |
| Anthem | IndividualOffExhange | $2,567 |
| Anthem | POS | $2,567 |
| Anthem | FEP | $4,826 |
| Anthem | PPO | $4,826 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.