Emergency visit, moderate (level 3) at Alta Vista Regional Hospital. CPT 99283.
What Alta Vista Regional Hospital publishes for this service, straight from its standard-charges file, last updated April 16, 2026.
Outpatient / ER
$937cash price (self-pay)
$1,873list price
$137–$1,873range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commercial HMO PPO | Western Sky Ambetter | $137 |
| Medicaid HMO | Molina Of TX Mcd | $147 |
| Medicaid Ffs | Az Ffs Medicaid | $147 |
| Medicaid Ffs | Colorado Ffs Medicaid | $147 |
| Medicaid Ffs | Ia Ffs Medicaid | $147 |
| Medicaid Ffs | Wy Ffs Medicaid | $147 |
| Php Centennial | Php Centennial | $147 |
| Medicaid HMO | Turquoise BCBS Mcd | $178 |
| Medicaid HMO | Turquoise Molina Mcd | $178 |
| Medicaid HMO | Turquoise Presb Mcd | $178 |
| Medicaid HMO | Turquoise UHC Mcd | $178 |
| Medicaid HMO | Turquoise Care Mcd | $178 |
| Medicaid Ffs | Medicaid Consultec | $178 |
| Medicaid Ffs | Nm Ffs Medicaid | $178 |
| Commercial HMO PPO | Pres Ind Sel | $178 |
| Commercial HMO PPO | Presby Ind Sel | $178 |
| Medicare HMO | Aetna Medicare Advantage | $262 |
| UHC Advantage | UHC Advantage | $262 |
| Medicare HMO | BCBS Medicare | $270 |
| Medicare | Medicare | $300 |
| Medicare HMO | Molina Medicare Advantage | $300 |
| Misc Medicare Advantage | Misc Medicare Advantage | $300 |
| Medicare HMO | Humana Mcr PPO | $300 |
| Champus | Triwest | $300 |
| Medicare HMO | Aarp UHC Life1 | $300 |
| Medicare HMO | Cigna Medicare Advantage | $300 |
| Medicare HMO | Presby Medicare Adv | $300 |
| Workers Comp | Workers Comp | $768 |
| Self Pay | Self Pay | $937 |
| Other Covernment | Nm Behavioral Hlth | $1,171 |
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