Emergency visit, moderate (level 3) at Ashtabula Regional Medical Center. CPT 99283.
What Ashtabula Regional Medical Center publishes for this service, straight from its standard-charges file, last updated September 8, 2026.
Outpatient / ER
$564cash price (self-pay)
$806list price
$69.06–$1,200range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| SummaCare | Medicare Advantage | $72.51 |
| Anthem Blue Cross Blue Shield | HIX | $86.33 |
| Oscar Cleveland | Commercial | $93.23 |
| Anthem Blue Cross Blue Shield | HMO/PPO/Traditional | $176 |
| Anthem Blue Cross Blue Shield | Medicare Advantage | $180 |
| CareSource | Medicare Advantage | $180 |
| Buckeye PACE | Medicare Advantage | $180 |
| Medical Mutual | Medicare Advantage | $182 |
| Aetna | Medicare Advantage | $186 |
| Valor | Medicare Advantage | $189 |
| Molina | Medicare Advantage | $193 |
| United Healthcare | Medicare Advantage | $196 |
| Aetna | Commercial | $279 |
| Cigna | Commercial | $293 |
| United Healthcare | Commercial | $329 |
| Medical Mutual | Commercial | $412 |
| Ohio Health Choice | Commercial | $420 |
| Molina Marketplace | Commercial | $654 |
| SummaCare | Commercial | $924 |
Inpatient
$564cash price (self-pay)
$806list price
$347–$758range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | Commercial | $347 |
| Medical Mutual | Commercial | $459 |
| Ohio Health Choice | Commercial | $758 |
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