Emergency visit, moderate (level 3) at Samaritan Medical Center. CPT 99283.
What Samaritan Medical Center publishes for this service, straight from its standard-charges file, last updated February 2, 2026.
Outpatient / ER
$158cash price (self-pay)
$367list price
$63.67–$2,244range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Empire | Commercial | $63.67 |
| Fidelis | Medicare Advantage/Managed Long Term Care | $67.02 |
| Wellcare | Medicare Advantage | $67.02 |
| Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Pl | $67.02 |
| Fidelis | Health Benefit Exchange | $73.72 |
| Fidelis | Essential Plan Program/Aliessa and Essential Plan Program-QH | $73.72 |
| Excellus | Commercial | $87.55 |
| Optum Behavioral Health | Commercial | $165 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $294 |
| Capital District Physician's Health Plan, Inc (CDPHP) | Medicare Advan | $341 |
| Excellus | Medicare Advantage | $341 |
| Aetna | Medicare Advantage | $348 |
| United Healthcare | Medicare Advantage | $351 |
| MVP | Medicare Advantage | $358 |
| MVP | Individual Commercial (HMO, EPO/PPO) Plans | $585 |
| MVP | Student Health Plans | $585 |
| MVP | Small/Large Group Commercial (HMO, EPO/PPO, ASO) Plans | $680 |
| UMR | Commercial | $698 |
| GHI Emblem | Commercial | $743 |
| United Healthcare | Commercial | $761 |
| Aetna | Commercial | $2,244 |
Inpatient
$895cash price (self-pay)
$895list price
$716–$716range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Capital District Physician's Health Plan, Inc (CDPHP) | Commercial | $716 |
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