Emergency visit, moderate (level 3) at Ira Davenport Memorial Hospital. CPT 99283.
What Ira Davenport Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 27, 2026.
Outpatient / ER
$146cash price (self-pay)
$730list price
$53.62–$730range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | All Products Non MD | $53.62 |
| Empire | All Products MD | $63.67 |
| Excellus BCBS | Medicare Advantage | $293 |
| FIDELIS | Health Benefit Exchange | $293 |
| Excellus BCBS | All Products | $306 |
| Excellus BCBS | Managed Medicaid | $333 |
| FIDELIS | Managed Medicaid_Aliessa and CHP | $333 |
| FIDELIS | Essential Plan QHP | $400 |
| Aetna | All Products | $620 |
| EMBLEM/GHI | All Products | $642 |
| UHC | All Products | $730 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.