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Emergency visit, moderate (level 3) at Westfield Memorial Hospital. CPT 99283.

What Westfield Memorial Hospital publishes for this service, straight from its standard-charges file, last updated April 14, 2026.

Outpatient / ER

$43.78cash price (self-pay)
$1,246list price
$56.00–$629range insurers pay
Insurance planNegotiated rate
Amerihealth | Amerihealth Medicaid CHC$56.00
Amerihealth | Amerihealth Medicaid HC$56.00
Univera | Univera Essential Plan$57.92
Univera | Univera Healthy New York$57.92
Amerihealth | Amerihealth Caritas Medicare (NY)$59.48
Univera | Univera Medicare$68.14
Univera | Univera Commercial$81.77
Amerihealth | Amerihealth Caritas CHC Medicaid$82.14
Amerihealth | Amerihealth Caritas HC Medicaid$82.14
Pennsylvania Health and Wellness | Pennsylvania Health and Wellness Me$84.98
Jefferson Health Plans | Jefferson Health Plans$86.67
Highmark | Highmark Blue High Performance$89.75
Geisinger | Geisinger CHIP$90.64
Geisinger | Geisinger Medicaid HC$90.64
United Healthcare | United Healthcare Medicaid$100
Community Care Behavorial Health University of Pittsburgh Medical Cent$103
Community Care Behavorial Health HealthChoices | Community Care Behavo$103
United Healthcare | United Healthcare CHIP$118
Highmark | Highmark Together Blue$126
Highmark | Highmark My Direct Blue$188
Amerihealth | Amerihealth Caritas D-SNP Medicare$202
Highmark | Highmark Social Mission Indemnity$219
Highmark | Highmark Social Mission Managed Care$219
United Healthcare | United Healthcare Commercial$231
Highmark | Highmark My Blue Access$245
Highmark | Highmark Performance Blue$284
Highmark | Highmark Community Blue Medicare PPO$301
Highmark | Highmark Complete Blue Medicare$301
Highmark | Highmark Connect Blue$302
Highmark | Highmark Freedom Blue$305
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All common services at Westfield Memorial Hospital