Emergency visit, moderate (level 3) at Mary Imogene Bassett Hospital. CPT 99283.
What Mary Imogene Bassett Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$86.50cash price (self-pay)
$419list price
$57.92–$2,389range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mvp | Managed Medicaid | $57.92 |
| BCBS | Excellus Preferred | $70.50 |
| United Healthcare | NY Power Authority | $96.78 |
| Cigna | Assurant | $147 |
| Mvp | Preferred | $147 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $174 |
| BCBS | Excellus Blue | $277 |
| BCBS | Excellus Medicare Advantage | $277 |
| Aetna | Medicare Advantage | $351 |
| BCBS | Anthem Medicare Advantage | $351 |
| BCBS | Excellus Blue Medicare Advantage | $351 |
| BCBS | Highmark Medicare Advantage | $351 |
| Cdphp | Medicare Advantage | $351 |
| Emblem | Medicare Advantage | $351 |
| Fidelis | Medicare Advantage | $351 |
| Humana | Medicare Advantage | $351 |
| Mvp | Medicare Advantage | $351 |
| United Healthcare | Madicare Advantage | $351 |
| BCBS | Highmark | $421 |
| Cigna | Mvp | $477 |
| BCBS | Anthem Exchange | $2,389 |
| BCBS | Empire Exchange | $2,389 |
| BCBS | Empire Managed Medicaid | $2,389 |
Inpatient
$86.50cash price (self-pay)
$173list price
$24.41–$156range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS | Excellus Child Health Plus Managed Medicaid | $51.96 |
| BCBS | Excellus Essential Managed Medicaid | $51.96 |
| BCBS | Excellus Healthy NY EPO Managed Medicaid | $51.96 |
| BCBS | Excellus Healthy NY Managed Medicaid | $51.96 |
| BCBS | Excellus HMO Blue Option Managed Medicaid | $51.96 |
| BCBS | Excellus Safety Net | $51.96 |
| Cdphp | Child Health Plus | $62.98 |
| Cdphp | Managed Medicaid | $62.98 |
| BCBS | Anthem Medicare Advantage | $66.29 |
| BCBS | Excellus Blue Medicare Advantage | $66.29 |
| BCBS | Excellus Blue Medicare Advantage PPO | $66.29 |
| BCBS | Excellus Medicare Advantage HMO/POS | $66.29 |
| BCBS | Excellus Medicare Advantage PPO | $66.29 |
| BCBS | Excellus Sr Federal | $66.29 |
| BCBS | Highmark Medicare Advantage | $66.29 |
| Cdphp | Medicare Advantage HMO | $66.29 |
| Cdphp | Medicare Advantage PPO | $66.29 |
| Aetna | Medicare Advantage HMO | $68.28 |
| Aetna | Medicare Advantage PPO/EPO | $68.28 |
| Cdphp | Essentials | $75.57 |
| BCBS | Excellus Preferred | $80.75 |
| BCBS | Empire | $91.79 |
| BCBS | Empire Exchange | $94.53 |
| BCBS | Highmark | $95.91 |
| BCBS | Highmark HMO | $95.91 |
| BCBS | Excellus | $98.47 |
| BCBS | Excellus Alliance | $98.47 |
| BCBS | Excellus Blue Card | $98.47 |
| BCBS | Excellus Exchange | $98.47 |
| BCBS | Excellus Federal | $98.47 |
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