Emergency visit, moderate (level 3) at fairview hospital. CPT 99283.
What fairview hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$1,242cash price (self-pay)
$1,911list price
$56.32–$2,453range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| OPTUM | Managed Medicaid Transplant | $56.32 |
| ANTHEM | Managed Medicaid | $62.24 |
| Buckeye | Managed Medicaid | $62.24 |
| MOLINA | Managed Medicaid | $62.24 |
| CARESOURCE | Managed Medicaid | $63.43 |
| AMERIHEALTH | Managed Medicaid | $65.21 |
| Anthem | Hpn | $128 |
| HUMANA | Medicare Advantage HMO | $248 |
| MMO | Medicare Advantage HMO | $257 |
| Aetna | Medicare Advantage | $258 |
| Anthem | Medicare Advantage | $258 |
| Devoted Health | Medicare Advantage | $258 |
| MMO | Medicare Advantage PPO | $264 |
| Cigna | Medicare Advantage | $266 |
| CommuniCare | MEDICARE ADVANTAGE | $271 |
| Cc Ehp | All Products | $430 |
| Anthem | PPO/HMO | $745 |
| Mmo | All Products | $749 |
| Aultcare | PPO/HMO | $797 |
| AETNA | Acop | $812 |
| Amish Community Aid Plan | ALL PRODUCTS | $860 |
| Ohcp | All Products | $929 |
| AETNA | Asa_Whirlpool_Peia | $948 |
| Omas | All Products | $956 |
| Mmo | Nasco | $996 |
| Mmo | Traditional | $996 |
| AETNA | International | $996 |
| Ohio Healthy | TRANSPLANT | $1,032 |
| Healthsmart | All Products | $1,051 |
| Anthem | Traditional | $1,067 |
Inpatient
$1,242cash price (self-pay)
$1,911list price
$540–$1,720range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $690 |
| Amish Community Aid Plan | ALL PRODUCTS | $956 |
| Anthem | Traditional | $1,101 |
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