Emergency visit, moderate (level 3) at Upper Valley Medical Center. CPT 99283.
What Upper Valley Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$1,812cash price (self-pay)
$1,812list price
$268–$826range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicare Hmo | Aetna Medicare | $268 |
| Medicare Hmo | Humana Medicare | $273 |
| Medicare Hmo | Communicare Advantage I-Snp | $276 |
| Medicare Hmo | Buckeye Medicare Advantage | $281 |
| Medicare Hmo | Devoted Health Plans | $284 |
| Anthem | Anthem Marketplace-Exchange Plans | $386 |
| Contracted Commercial | Caresource Marketplace | $401 |
| Anthem | Anthem Blue Connection High Performance Network | $619 |
| Anthem | Anthem Bcbs | $826 |
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