Emergency visit, moderate (level 3) at Mercy Hospital Ada. CPT 99283.
What Mercy Hospital Ada publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
$538cash price (self-pay)
$1,199list price
$68.06–$4,136range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Humana Medicaid Contracted [320486] | Hb Ada Ok Medicaid (Soonercare) | $247 |
| Oklahoma Complete Health Medicaid Contracted [320485] | Hb Ada Ok Medi | $247 |
| Medicaid [20240] | Hb Ada Ok Medicaid (Soonercare) | $247 |
| Aetna Medicaid Contracted [320009] | Hb Ada Ok Medicaid (Soonercare) | $247 |
| Prominence Health Plan Medicare Advantage Contracted [320496] | Hb Ada | $270 |
| Tricare Contracted [320380] | Hb Ada Medicare/Mgd Medicare 100% | $270 |
| Qual Choice Contracted [320325] | Hb Ada Medicare/Mgd Medicare 100% | $270 |
| Nhc Advantage Medicare Contracted [320282] | Hb Ada Medicare/Mgd Medic | $270 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Ada Medi | $270 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Ada Medicare/Mgd Medicar | $270 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Ada Medicare/Mgd | $270 |
| Kindful Hospice Contracted [320434] | Hb Ada Medicare/Mgd Medicare 100 | $270 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Ada Medicare/Mgd | $270 |
| Provider Partners Health Plans Contracted [320450] | Hb Ada Medicare/M | $270 |
| Windsor Medicare [20424] | Hb Ada Medicare/Mgd Medicare 100% | $270 |
| Tricare [20380] | Hb Ada Tricare | $270 |
| Mercy Hospice Okc [20252] | Hb Ada Medicare/Mgd Medicare 100% | $270 |
| Mental Health Network Medicare [20250] | Hb Ada Medicare/Mgd Medicare | $270 |
| Medicare [20244] | Hb Ada Medicare/Mgd Medicare 100% | $270 |
| Independent Health [20197] | Hb Ada Medicare/Mgd Medicare 100% | $270 |
| Horizons Medicare [20190] | Hb Ada Medicare/Mgd Medicare 100% | $270 |
| Health First Health Plans Medicare [20170] | Hb Ada Medicare/Mgd Medic | $270 |
| Medica Medicare Advantage Contracted [320477] | Hb Ada Medica Medicare | $276 |
| Healthspring Medicare Advantage Contracted [320526] | Hb Ada Cigna Mcr | $279 |
| Blue Cross And Blue Shield [20053] | Hb Ada Blue Cross Choice | $279 |
| Blue Cross And Blue Shield [20053] | Hb Ada Blue Cross Advantage PPO | $279 |
| Blue Cross And Blue Shield [20053] | Hb Ada Blue Cross Preferred | $279 |
| Mc Anthem [20455] | Hb Ada Blue Cross Choice | $279 |
| Mc Generic Anthem [20456] | Hb Ada Blue Cross Choice | $279 |
| Devoted Health Medicare Contracted [320500] | Hb Ada Devoted Health Mc | $287 |
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