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

What Jefferson County Hospital publishes for this service, straight from its standard-charges file, last updated March 14, 2026.

Outpatient / ER

$297cash price (self-pay)
$846list price
$355–$795range insurers pay
Insurance planNegotiated rate
Medica | PPO$355
Healthcare Highways | Sync PPO$372
Humana Military Tricare | All Plans$457
Friday Health Plan | PPO$493
Healthcare Highways | Logix PPO$550
United Healthcare | PPO$575
Oklahoma Health Network (OHN) | PPO$677
Aetna | All Plans$719
Coventry | PPO$719
Cigna | PPO/POS$761
First Health | PPO$761
OSMA Health | PPO$761
Preferred Community Choice | PPO$778
HealthSmart | PPO$795
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All common services at Jefferson County Hospital