Emergency visit, moderate (level 3) at Adena Pike Medical Center. CPT 99283.
What Adena Pike Medical Center publishes for this service, straight from its standard-charges file, last updated August 19, 2026.
Outpatient / ER
$571cash price (self-pay)
$1,142list price
$274–$1,085range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Molina | Medicare Advantage | $274 |
| Humana | Medicare Advantage | $274 |
| Medigold | Medicare Advantage | $274 |
| Medical Mutual of Ohio | Medicare Advantage | $274 |
| Buckeye Community Health Plan | Medicare Advantage | $274 |
| Aetna | Medicare Advantage | $274 |
| Care Source | Medicare Advantage | $279 |
| Anthem | Medicare Advantage | $354 |
| Gateway Health | Commercial | $377 |
| Molina Marketplace | Commercial | $558 |
| Care Source Just4Me | Commercial | $558 |
| Anthem Ohio Exchange | PPO | $752 |
| Anthem Ohio Exchange | HMO | $752 |
| Sidecar Health | Commercial | $754 |
| The Health Plan | Commercial | $799 |
| Ohio PPO Connect | Commercial | $799 |
| Medical Mutual of Ohio SuperMed | Commercial | $819 |
| Medical Mutual of Ohio | Managed Care | $819 |
| Great West Health Care/Cigna | Commercial | $827 |
| Anthem | Traditional | $846 |
| First Health | Commercial | $895 |
| Ohio Health Choice | Commercial | $909 |
| Aetna (Cofinity/Meritain) | Commercial | $929 |
| United Healthcare | All Plans | $970 |
| Anthem Pathway | HMO/PPO | $985 |
| Integrated Health Plan | Commercial | $1,073 |
| HealthSmart | Emerald Commercial Products | $1,085 |
| Multiplan/Private Healthcare Systems | Commercial | $1,085 |
| Three Rivers Network | Commercial | $1,085 |
Inpatient
$571cash price (self-pay)
$1,142list price
$724–$1,085range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Anthem Ohio Exchange | HMO | $724 |
| Anthem Ohio Exchange | PPO | $724 |
| Ohio PPO Connect | Commercial | $799 |
| The Health Plan | Commercial | $799 |
| Medical Mutual of Ohio | Managed Care | $819 |
| Medical Mutual of Ohio SuperMed | Commercial | $819 |
| Great West Health Care/Cigna | Commercial | $827 |
| Anthem | Traditional | $846 |
| First Health | Commercial | $895 |
| Ohio Health Choice | Commercial | $909 |
| Aetna (Cofinity/Meritain) | Commercial | $929 |
| Anthem Pathway | HMO/PPO | $959 |
| Integrated Health Plan | Commercial | $1,073 |
| Three Rivers Network | Commercial | $1,085 |
| Multiplan/Private Healthcare Systems | Commercial | $1,085 |
| HealthSmart | Emerald Commercial Products | $1,085 |
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