Emergency visit, moderate (level 3) at Health Alliance Mary Avenue Hospital. CPT 99283.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$278cash price (self-pay)
$2,600list price
$158–$35,000range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans (Mcr) | Veterans (Mcr) | $237 |
| Aetna Medicare | Aetna Medicare | $339 |
| Beacon Medicare | Beacon Medicare | $339 |
| Blue Cross Medicare | Blue Cross Medicare | $339 |
| Cdphp Medicare | Cdphp Medicare | $339 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $339 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $339 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $339 |
| Todays Options Medicare | Todays Options Medicare | $339 |
| Medicare | Medicare | $341 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $346 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $356 |
| Todays Options | Todays Options | $373 |
| Beacon Exchange | Beacon Exchange | $407 |
| Beacon Commercial | Beacon Commercial | $441 |
| Value Options Comm (Chcs) | Value Options Comm (Chcs) | $500 |
| VALUE OPTIONS (Non-HMO) | VALUE OPTIONS (Non-HMO) | $509 |
| Mvp Exchange | Mvp Exchange | $1,344 |
| UHC Exchange | UHC Exchange | $1,425 |
| Cdphp | Cdphp | $1,463 |
| Oxford Exchange | Oxford Exchange | $1,508 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $1,568 |
| Mvp HMO/PPO | Mvp HMO/PPO | $1,581 |
| Blue Cross Access | Blue Cross Access | $1,673 |
| UHC Commercial | UHC Commercial | $1,676 |
| UHC Empire | UHC Empire | $1,676 |
| Magnacare Standard | Magnacare Standard | $1,820 |
| First Health | First Health | $1,875 |
| Blue Cross Small Group | Blue Cross Small Group | $1,882 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $1,882 |
Inpatient
$278cash price (self-pay)
$2,600list price
$195–$5,412range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $1,820 |
| Multiplan | Multiplan | $2,132 |
| Blue Shield - Health Now | Blue Shield - Health Now | $2,470 |
| Medigap | Medigap | $2,600 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $2,600 |
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