Emergency visit, moderate (level 3) at Bertrand Chaffee Hospital. CPT 99283.
What Bertrand Chaffee Hospital publishes for this service, straight from its standard-charges file, last updated October 1, 2026.
Outpatient / ER
$363cash price (self-pay)
$428list price
$59.53–$2,575range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Univera Plus Med | Univera Plus Med | $59.53 |
| Univera Hc Child Health+ | Univera Hc Child Health+ | $59.53 |
| Aarp/United Healthcare | Aarp/United Healthcare | $67.03 |
| Cigna Medicare | Cigna | $67.03 |
| Mutual Of Omaha | Mutual Of Omaha | $67.03 |
| Lifetime Benefits | Lifetime Benefits | $67.03 |
| Aetna Medicare | Aetna Medicare | $67.03 |
| Todays Option - Amer Prog | Todays Option - Amer Prog | $67.03 |
| Geisinger Health Plan | Geisinger Health Plan | $67.03 |
| Optimum Healthcare - Mcr | Optimum Healthcare - Mcr | $67.03 |
| Advantra-Mcr Advantage | Advantra-Mcr Advantage | $67.03 |
| Centers Plan Hlty Living | Centers Plan Hlty Living | $67.03 |
| Humana Medicare | Humana Gold | $67.03 |
| Wellcare | Wellcare | $67.03 |
| United Hc Mcr Solutions | United Hc Mcr Solutions | $67.03 |
| Mvp Medicare Advantage | Mvp Medicare Advantage | $67.03 |
| Ctrs Plan For Hlthy Livng | Ctrs Plan For Hlthy Livng | $67.03 |
| Coventry Medicare Health | Coventry Medicare Health | $67.03 |
| Fidelis Medicare | Fidelis Medicare | $67.03 |
| Champva | Champva | $67.03 |
| Wps Tricare For Life | Wps Tricare For Life | $67.03 |
| Va Optum Community Care | Va Optum Community Care | $67.03 |
| Univera Healthcare | Univera Healthcare | $70.04 |
| Univera Senior Choice | Univera Senior Choice | $70.04 |
| Blue Cross Of Western NY | Bc Of Wny HMO | $270 |
| Iha Medisource | Iha Medisource | $329 |
| Private Pay | Private Pay | $363 |
| Iha | Iha | $398 |
| Iha Custom Coverage | Iha Custom Coverage | $398 |
| Iha Encompass 65 | Iha - Encompass 65 | $416 |
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