Emergency visit, moderate (level 3) at Good Samaritan Hospital. CPT 99283.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,591cash price (self-pay)
$2,122list price
$154–$818range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | All Commercial Plans | $155 |
| Aetna | Medicare Managed Care Plan | $266 |
| Medical Mutual of Ohio | Medicare Managed Care Plan | $271 |
| Buckeye | Advantage Medicare Managed Care Plan | $274 |
| BCBS | Anthem KY Pathway Transition HMO Exchange | $333 |
| Buckeye | Ambetter Exchange | $386 |
| Oscar | All Commercial Plans | $399 |
| BCBS | Anthem OH I and OH II PPO | $604 |
| Imagine Health | All Commercial Plans | $638 |
| Custom Design Benefits | Exclusive Other Commercial Plan | $654 |
| Custom Design Benefits | TruCost Other Commercial Plan | $684 |
| BCBS | Anthem Blue Connection HMO | $714 |
| MedBen | Tier 1 Other Commercial Plan | $729 |
| MedBen | Tier 2 Other Commercial Plan | $766 |
| BCBS | Anthem Blue Access PPO | $818 |
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