Emergency visit, moderate (level 3) at TMC Bonham Hospital. CPT 99283.
What TMC Bonham Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$976cash price (self-pay)
$1,301list price
$68.51–$679range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina_chip | Medicaid | $68.51 |
| Superior_star_plus | Medicaid | $85.48 |
| Uhc_star_plus | Medicaid | $85.48 |
| Molina_star_plus | Medicaid | $89.75 |
| Wellpoint_star_plus | Medicaid | $89.75 |
| Superior_star | Medicaid | $91.35 |
| Uhc_star | Medicaid | $91.35 |
| Blue_cross_blue_shield_of_tx | Managed_care | $93.18 |
| Blue_cross_blue_shield_of_tx | HMO | $93.18 |
| Blue_cross_blue_shield_of_tx | PPO | $93.18 |
| Molina_star | Medicaid | $95.92 |
| Superior_chip | Medicaid | $95.92 |
| Wellpoint | Medicaid | $95.92 |
| Blue_cross_blue_shield_of_tx | Qhp | $163 |
| Aetna_medicare | Medicare | $273 |
| Humana_choice_care | Medicare | $273 |
| United_healthcare | Medicare | $273 |
| Ambetter | Qhp | $429 |
| Cigna | HMO | $470 |
| Aetna | PPO | $679 |
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