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Emergency visit, moderate (level 3) at Jackson County Memorial Hospital. CPT 99283.

What Jackson County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.

Outpatient / ER

$194cash price (self-pay)
$522list price
$116–$808range insurers pay
Insurance planNegotiated rate
Coventry | Medicare Advantage$282
Humana | Medicare Advantage$282
Humana | Veteran Services Project Hero$282
Healthcare Highways | Sync PPO$313
United Healthcare | PPO$355
Oklahoma Health Network (OHN) | PPO$365
Coventry | PPO$386
Coventry | First Health PPO$418
Phcs | Multiplan Savility PPO$418
Aetna | Gatekeeper$433
Aetna | Non Gatekeeper$444
Cigna | PPO$444
Phcs | Multiplan PPO$470
Preferred Community Choice | PPO$470
Humana | PPO$496
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All common services at Jackson County Memorial Hospital