Emergency visit, moderate (level 3) at Plaistow Emergency Room. CPT 99283.
What Plaistow Emergency Room publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$5,253cash price (self-pay)
$5,253list price
$162–$4,990range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $162 |
| Well Sense Health Plan | MCD | $393 |
| Aetna | EPO | $887 |
| Aetna | HMO | $887 |
| Aetna | POS | $887 |
| Aetna | PPO | $887 |
| United | FreedomBenefitPlans | $1,103 |
| Maine Community Health | Individual | $1,643 |
| Maine Community Health | SmallGroup | $1,643 |
| Anthem | BlueChoice | $2,201 |
| United | AllPayerAppendix | $2,206 |
| Anthem | INDEMNITY | $2,295 |
| Anthem | HMO | $2,550 |
| Anthem | POS | $2,550 |
| Maine Community Health | LargeGroup | $2,783 |
| Tufts Health Plan | POS | $3,005 |
| Tufts Health Plan | HMO | $3,095 |
| Tufts Health Plan | PPO | $3,095 |
| United | OptionsPPO | $3,188 |
| Cigna | HMO | $3,315 |
| CorVel | WorkersComp | $3,782 |
| EverNorth | COMM | $4,202 |
| Cigna | PPO | $4,222 |
| Healthcare Value Mgmt | COMM | $4,412 |
| First Health | PPO | $4,465 |
| Anthem | FEP | $4,793 |
| Anthem | PPO | $4,793 |
| Oxford Health Plans | COMM | $4,990 |
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