Emergency visit, moderate (level 3) at Mount Carmel Grove City. CPT 99283.
What Mount Carmel Grove City publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$168cash price (self-pay)
$1,900list price
$49.16–$1,939range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $253 |
| Oscar | Oscar | $426 |
| Blue Cross - Oh (Anthem) | Anthem BCBS Pathway HMO | $461 |
| Enterprise Group Planning | Enterprise Group Planning Medicare Adv | $498 |
| Custom Design Benefits | Custom Design Benefit | $540 |
| Quality Care Partners | Quality Care Partners | $584 |
| Blue Cross - Oh (Anthem) | Anthem BCBS Pathway Grp HMO | $817 |
| Blue Cross - Ne | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Nd | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Wa (Premera) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Va (Carefirst) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Va (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Vt | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Ut (Regence) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - De (Highmark) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Ct (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Mo (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Ks | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Oh (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - TX | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Tn | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Sc | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Ri | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Shield - Pa (Highmark) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Mn | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - IL | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Wi (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Care Network | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Nm | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Nj (Horizon) | Anthem Blue Access PPO Blue Pref HMO | $982 |
Inpatient
$164cash price (self-pay)
$164list price
$44.30–$164range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Administration | Veterans Affairs | $68.71 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $164 |
| The Health Plan | Pb Xr 100% Default | $164 |
| Rx Allwin | Pb Xr 100% Default | $164 |
| Union Health Service | Pb Xr 100% Default | $164 |
| Dentaquest | Pb Xr 100% Default | $164 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $164 |
| Everence | Pb Xr 100% Default | $164 |
| Health Choices | Pb Xr 100% Default | $164 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $164 |
| Molina Medicare Advantage | Pb Xr 100% Default | $164 |
| Western & Southern Financial Group | Pb Xr 100% Default | $164 |
| Automated Benefit Services | Pb Xr 100% Default | $164 |
| Cam Administrative Services | Pb Xr 100% Default | $164 |
| Insight | Pb Xr 100% Default | $164 |
| Unified Group Services | Pb Xr 100% Default | $164 |
| American Healthcare Alliance | Pb Xr 100% Default | $164 |
| Town Of East Hartford | Pb Xr 100% Default | $164 |
| Wc Capitol Area Health Consortium | Pb Xr 100% Default | $164 |
| Auto Esurance | Pb Xr 100% Default | $164 |
| Trustmark Small Business Benefits | Pb Xr 100% Default | $164 |
| Wc Memic | Pb Xr 100% Default | $164 |
| Wc One Call Medical | Pb Xr 100% Default | $164 |
| Wc Cirma | Pb Xr 100% Default | $164 |
| Employee Benefits Systems | Pb Xr 100% Default | $164 |
| Physicians Plus | Pb Xr 100% Default | $164 |
| American Postal Workers Secondary | Pb Xr 100% Default | $164 |
| Pekin | Pb Xr 100% Default | $164 |
| Country Life Ins | Pb Xr 100% Default | $164 |
| Prairie States | Pb Xr 100% Default | $164 |
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