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Emergency visit, moderate (level 3) at Portsmouth Amublance. CPT 99283.

What Portsmouth Amublance 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 planNegotiated 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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All common services at Portsmouth Amublance