Emergency visit, moderate (level 3) at Mount Carmel St Anns. CPT 99283.
What Mount Carmel St Anns publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$182cash price (self-pay)
$1,900list price
$49.16–$1,939range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare Advantage | Aetna Medicare Advantage | $258 |
| Blue Cross - Oh (Anthem) Medicare Advantage | Anthem BCBS Medicare Adv | $258 |
| Hospice Mount Carmel | Mount Carmel Hospice | $263 |
| Aetna Medicare Advantage | Aetna Better Health Medicare Advantage | $271 |
| Caresource Medicare | Caresource Medicare Advantage | $271 |
| Univera Healthcare Medicare Advantage | Universal Medicare Advantage | $276 |
| Enterprise Group Planning | Enterprise Group Planning Medicare Adv | $508 |
| Custom Design Benefits | Custom Design Benefit | $550 |
| Quality Care Partners | Quality Care Partners | $595 |
| Ohio Safe Program | Safe Program | $632 |
| Crime Victim Assistance | Safe Program | $632 |
| Medical Mutual | Medical Mutual Medflex | $647 |
| Medical Mutual | Medical Mutual Supermed PPO POS HMO | $937 |
| Blue Cross - Wv (Highmark) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Wy | Anthem Blue Access PPO Blue Pref HMO | $982 |
| BCBS Generic | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Federal | 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 - Ia (Wellmark) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - IL | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Benefit Administrators Of Massachusetts | Anthem Blue Access PPO | $982 |
| Blue Distinction Transplant | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Tn | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Ga (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - FL | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - De (Highmark) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Dc (Carefirst) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| Blue Cross - Ct (Anthem) | Anthem Blue Access PPO Blue Pref HMO | $982 |
| United Healthcare | United Healthcare Exchange | $1,053 |
Inpatient
$164cash price (self-pay)
$164list price
$44.30–$164range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Rx Allwin | Pb Xr 100% Default | $164 |
| Dentaquest | Pb Xr 100% Default | $164 |
| Molina Medicare Advantage | Pb Xr 100% Default | $164 |
| The Health Plan | Pb Xr 100% Default | $164 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $164 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $164 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $164 |
| Union Health Service | Pb Xr 100% Default | $164 |
| Everence | Pb Xr 100% Default | $164 |
| Rx Health Systems | Pb Xr 100% Default | $164 |
| Medicaid - Ia | Pb Xr 100% Default | $164 |
| Rx Physician Rx Care Discount | Pb Xr 100% Default | $164 |
| Rx Cypress Care | Pb Xr 100% Default | $164 |
| Naphcare Correctional | Pb Xr 100% Default | $164 |
| New York Cancer Services Program | Pb Xr 100% Default | $164 |
| Medicaid - Ks | Pb Xr 100% Default | $164 |
| Medicaid - Ky | Pb Xr 100% Default | $164 |
| Rx Savrx Advantage | Pb Xr 100% Default | $164 |
| Midlands Choice | Pb Xr 100% Default | $164 |
| Moda Health | Pb Xr 100% Default | $164 |
| Mountain Health Co-Op | Pb Xr 100% Default | $164 |
| Mpn | Pb Xr 100% Default | $164 |
| Multiplan | Pb Xr 100% Default | $164 |
| Naphcare | Pb Xr 100% Default | $164 |
| Ncas | Pb Xr 100% Default | $164 |
| New York State Dept Of Health | Pb Xr 100% Default | $164 |
| Luminare Health (Detroit) | Pb Xr 100% Default | $164 |
| Optima Health | Pb Xr 100% Default | $164 |
| Pacificsource Health Plans Medicare Advantage | Pb Xr 100% Default | $164 |
| Physicians Health Plan Northern Indiana Health Insurance | Pb Xr 100% | $164 |
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