Emergency visit, moderate (level 3) at St. Mary's General Hospital. CPT 99283.
What St. Mary's General Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$322cash price (self-pay)
$1,635list price
$140–$1,331range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Horizon | Horizon NJ Health Medicaid | $140 |
| UHC | UHC Medicaid (02/01/2023 to 12-31-2026) | $140 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicaid | $140 |
| Humana | Humana Military Tricare | $258 |
| Aetna | Aetna Medicare | $323 |
| Americhoice (UHC) | UHC Medicare | $323 |
| Amerihealth | Amerihealth Medicare | $323 |
| Clover Health | Clover Medicare | $323 |
| Horizon | Horizon Medicare | $323 |
| Traditional Medicare | Traditional Medicare | $323 |
| Tricare | Tricare | $323 |
| Wellcare | Wellcare Medicare | $323 |
| Wellpoint Amerigroup | Wellpoint Amerigroup Medicare | $323 |
| Wellchoice | WELLCHOICE HMO of NJ (Empire) Commercial (HMO / HMO POS, | $337 |
| Ally-Align (Fka Spartan Plan Nj, Inc.) | Ally-Align (Fka Spartan Plan | $339 |
| Wellchoice | WELLCHOICE HMO of NJ (Empire) Commercial (Indemnity) | $369 |
| Wellcare | Wellcare Insurance Exchange | $436 |
| Employer Direct Healthcare | Employer Direct Healthcare | $452 |
| Cigna | Cigna Commercial | $474 |
| Fairprice Healthcare Holdings | Fairprice Healthcare Holdings | $516 |
| Horizon | Horizon BCBS Of NJ HMO POS | $572 |
| Horizon | Horizon BCBS Of NJ Indemnity | $572 |
| Horizon | Horizon BCBS Of NJ PPO | $572 |
| Coventry | Coventry Auto | $645 |
| Coventry | Coventry Workers Compensation | $645 |
| Aetna | Aetna Commercial | $684 |
| Aetna | Aetna Medical Rental Network | $684 |
| Horizon | Horizon Casualty Services Personal Injury Protection - PIP | $764 |
| Horizon | Horizon Casualty Services Workers Compensation | $764 |
| UHC | UHC Oxford (02-01-2023 to 12-31-2026) | $880 |
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