Emergency visit, moderate (level 3) at Samaritan Hospital. CPT 99283.
What Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$131cash price (self-pay)
$148list price
$7.72–$3,614range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross - NY (Anthem) Medicaid Advantage | Empire Medicaid Essentia | $202 |
| Blue Cross - NY (Anthem) Medicaid Advantage | Empire Medicaid | $202 |
| Fidelis Care | Fidelis Health Benefit Exchange | $613 |
| Blue Cross - NY (Anthem) | Empire BCBS Blue Access | $705 |
| Blue Cross - Oh (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $784 |
| Blue Cross - CA (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $784 |
| Blue Cross - Co (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $784 |
| Blue Cross - Ct (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $784 |
| Blue Cross - NY (Anthem) | Empire BCBS HMO EPO PPO Indemnity | $784 |
| Blue Cross Domestic | Empire BCBS HMO EPO PPO Indemnity | $784 |
| Blue Shield - NY Highmark Northeastern | Blue Shield Of Ne New York As | $1,098 |
| Blue Shield - NY Highmark Northeastern | Blue Shield Of Ne New York Hm | $1,732 |
| Blue Cross - Pa (Independence) | Blue Shield Of Ne New York HMO | $1,732 |
| Blue Cross - FL | Blue Shield Of Ne New York HMO | $1,732 |
| Capital District Physicians Health Plan | Cdphp | $1,982 |
| United Healthcare | United Healthcare | $2,022 |
| Blue Cross - Ak (Premera) | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Nm | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Al | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Shield - NY Highmark Western | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Ar | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Az | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - NY (Excellus) | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Shield - NY Highmark Northeastern | Blue Shield Of Ne New York Pp | $2,165 |
| Blue Cross - Pa (Independence) | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - De (Highmark) | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Shield - CA | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Or (Regence) | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - Ok | Blue Shield Of Ne New York PPO | $2,165 |
| Blue Cross - FL | Blue Shield Of Ne New York PPO | $2,165 |
Inpatient
$348cash price (self-pay)
$348list price
$44.94–$348range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Dentaquest | Pb Xr 100% Default | $348 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $348 |
| Molina Medicare Advantage | Pb Xr 100% Default | $348 |
| Union Health Service | Pb Xr 100% Default | $348 |
| Rx Allwin | Pb Xr 100% Default | $348 |
| The Health Plan | Pb Xr 100% Default | $348 |
| Health Choices | Pb Xr 100% Default | $348 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $348 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $348 |
| Everence | Pb Xr 100% Default | $348 |
| Tufts Health Plan | Pb Xr 100% Default | $348 |
| South Country Health Alliance Medicaid | Pb Xr 100% Default | $348 |
| Blue Cross - MA Medicare Advantage | Pb Xr 100% Default | $348 |
| Wc O'Hara Corp | Pb Xr 100% Default | $348 |
| Blue Cross - Ms Medicare Advantage | Pb Xr 100% Default | $348 |
| Mutual Medical | Pb Xr 100% Default | $348 |
| Aultcare | Pb Xr 100% Default | $348 |
| Johns Hopkins Advantage Md | Pb Xr 100% Default | $348 |
| Healthplex | Pb Xr 100% Default | $348 |
| Unity | Pb Xr 100% Default | $348 |
| Secure Horizons MA Pffs | Pb Xr 100% Default | $348 |
| Rx Pennsylvania Pace | Pb Xr 100% Default | $348 |
| Rx First Health | Pb Xr 100% Default | $348 |
| Rx Benescript | Pb Xr 100% Default | $348 |
| Harvard Pilgrim Medicare | Pb Xr 100% Default | $348 |
| Core Benefits | Pb Xr 100% Default | $348 |
| Mashantucket Pequot | Pb Xr 100% Default | $348 |
| Stirling Benefits | Pb Xr 100% Default | $348 |
| Blue Cross - TX Medicare Advantage | Pb Xr 100% Default | $348 |
| Rx Worker'S Comp | Pb Xr 100% Default | $348 |
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