Emergency visit, moderate (level 3) at Kenmore Mercy Hospital. CPT 99283.
What Kenmore Mercy Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$193cash price (self-pay)
$193list price
$24.41–$1,206range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hospice [550001] | Erie [55000101] | $67.36 |
| No Fault [114001] | No Fault - No Information [11400115] | $162 |
| No Fault [114001] | One Beacon Ins [11400110] | $162 |
| Workers Compensation [500101] | Jag Source Nysif [50010123] | $162 |
| WORKERS COMPENSATION [500101] | NCA Comp [5005010] | $162 |
| Workers Compensation [500101] | State Insurance Fund [50010101] | $162 |
| Workers Compensation [500101] | Travelers Ins Co [50010103] | $162 |
| Workers Compensation [500101] | Workers Comp-Other [50010118] | $162 |
| NO FAULT [114001] | Farmers Insurance [11500104] | $162 |
| No Fault [114001] | Mvaic [11500105] | $162 |
| No Fault [114001] | Nationwide Ins [11400107] | $162 |
| Wellpoint Bc Medicaid [351102] | Wellpoint Bc Chp Non-Medicaid [351102 | $176 |
| Champ Va [700002] | Champ Va [70000201] | $198 |
| Medicare [400001] | Medicare Part A [40000102] | $204 |
| Medicare Alternate Payor [888] | Medicare Part B Alternate [88801] | $204 |
| Medicare HMO Other [450117] | Centers Plan For Healthy Living [4501170 | $204 |
| Medicare HMO Other [450117] | Medicare HMO Other [45011701] | $204 |
| Aetna Medicare HMO [450112] | Aetna Medicare HMO [45011201] | $206 |
| Wellcare [450129] | Wellcare Liberty [45012902] | $209 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Plus [45045101] | $212 |
| Fidelis Medicare [450121] | Fidelis Medicare Advantage [45012101] | $212 |
| Wellcare Fidelis Dual [450451] | Wellcare Fidelis Dual Access [4504510 | $212 |
| United Healthcare Medicare [450021] | UHC Medicare HMO [45002110] | $214 |
| Univera Healthcare Medicare [450124] | Medicare PPO Univera [45012402] | $219 |
| Univera Healthcare Medicare [450124] | Senior Choice [45012401] | $219 |
| Univera Healthcare Medicare [450124] | Univera Medicare Dual [45012403 | $219 |
| Univera Healthcare [100169] | Univera Access [10016908] | $240 |
| Blue Cross/Blue Shield [100151] | Healthy New York Bc [10015103] | $274 |
| Univera Healthcare [100169] | PPO Univera [10016903] | $283 |
| Univera Healthcare [100169] | Traditional [10016904] | $283 |
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