Emergency visit, moderate (level 3) at SBH Health System. CPT 99283.
What SBH Health System publishes for this service, straight from its standard-charges file, last updated February 27, 2026.
Outpatient / ER
$79.79cash price (self-pay)
$1,246list price
$24.41–$874range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amida Care | Medicaid | $24.41 |
| MetroPlus Health | CHP/HARP/HIV SNP/Medicaid | $55.01 |
| MetroPlus Health | Essential Plan 3 (Aliessa)/Essential Plan 4 (Aliess | $55.01 |
| SOMOS | CHP/HARP/Medicaid | $58.94 |
| SOMOS | Essential | $58.94 |
| MetroPlus Health | Essential Plan 1 (Non-Aliessa)/Essential Plan 2 (No | $66.80 |
| Healthfirst | Commercial | $78.59 |
| Healthfirst | CHP/FHP/Medicaid | $112 |
| Carelon Behavioral Health | CHP/Medicaid | $120 |
| Healthfirst | Medicare Advantage | $150 |
| Healthfirst | Essential Plan | $177 |
| Fidelis | Essential Plan Aliesa | $179 |
| Fidelis | CHP/HARP/Medicaid | $188 |
| Fidelis | Essential Plan QHP | $188 |
| Fidelis | Qualified Health Plan | $188 |
| Centers Plan For Healthy Living | Dual Advantage/Medicare Advantage/Me | $208 |
| Fidelis | Medicare Advantage | $208 |
| Hamaspik Choice Inc | Medicare | $208 |
| Hamaspik Choice Inc | Medicaid | $208 |
| Healthfirst | QHP | $208 |
| Senior Whole Health | Medicare Advantage | $208 |
| VNS Choice | FIDA/MLTC Plus/Medicaid Advantage/Medicare Advantage/Spec | $208 |
| MetroPlus Health | Commercial/Exchange/Gold Care/Medicare Advantage | $217 |
| Affinity | Essential Plan 1&2 | $237 |
| Affinity | Essential Plan 3&4 | $237 |
| Affinity | Medicaid/CHP/HARP | $237 |
| Aetna | Gatekeeper/Non-Gatekeeper | $338 |
| Aetna | Government | $338 |
| Carelon Behavioral Health | Medicare Advantage | $338 |
| Elderplan | Medicare Advantage | $338 |
Inpatient
—cash price (self-pay)
$1,246list price
$623–$623range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Hamaspik Choice Inc | Medicaid | $623 |
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