Emergency visit, moderate (level 3) at Mercy Hospital Oklahoma City. CPT 99283.
What Mercy Hospital Oklahoma City publishes for this service, straight from its standard-charges file, last updated June 12, 2026.
Outpatient / ER
$1,457cash price (self-pay)
$2,241list price
$21.00–$4,590range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Medicaid [20240] | Hb Oklc Ark Medicaid | $36.00 |
| Tricare [20380] | Hb Oklc Managed Medicare | $240 |
| Tricare Contracted [320380] | Hb Oklc Managed Medicare | $252 |
| United Healthcare Medicare Advantage Contracted [320398] | Hb Oklc UHC | $252 |
| Qual Choice Contracted [320325] | Hb Oklc Managed Medicare | $252 |
| Elara Caring Aspire Hospice Contracted [320433] | Hb Oklc Managed Medi | $252 |
| Kindful Hospice Contracted [320434] | Hb Oklc Managed Medicare | $252 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Oklc Managed Medi | $252 |
| Halo Hcr Inc Hospice Contracted [320432] | Hb Oklc Managed Medicare | $252 |
| Cherokee Nation Health Serv Contracted [320066] | Hb Oklc Indian Healt | $252 |
| Essence Healthcare Medicare Contracted [320122] | Hb Oklc Managed Medi | $252 |
| Dept Of Veteran Affairs Contracted [320106] | Hb Oklc Managed Medicare | $252 |
| Medicare [20244] | Hb Oklc Medicare | $252 |
| Mercy Hospice Okc [20252] | Hb Oklc Managed Medicare | $252 |
| Cross Timbers Hospice [20098] | Hb Oklc Managed Medicare | $252 |
| Champva [20065] | Hb Oklc Managed Medicare | $252 |
| Generic Medicare Managed Care [20137] | Hb Oklc Managed Medicare | $252 |
| American Health Advantage Of Ok Medicare [20019] | Hb Oklc Managed Med | $252 |
| Longevity Health Plan [10477] | Hb Oklc Managed Medicare | $252 |
| BCBS Medicare Advantage [20047] | Hb Oklc Managed Medicare | $252 |
| Halo Hcr Inc Hospice [20432] | Hb Oklc Managed Medicare | $252 |
| Elara Caring Aspire Hospice [20433] | Hb Oklc Managed Medicare | $252 |
| Medica Medicare Advantage [20477] | Hb Oklc Medica Medicare Eff 031523 | $257 |
| Globalhealth Contracted [320145] | Hb Oklc Global Health Mcr 102% | $258 |
| Globalhealth Medicare Advantage [20145] | Hb Oklc Managed Medicare | $258 |
| Cigna Medicare Advantage Contracted [320072] | Hb Oklc Cigna Mcr 103% | $260 |
| Wellcare Medicare Advantage Contracted [320421] | Hb Oklc Wellcare Mcr | $270 |
| Amg Spec Hosp Edmond [20034] | Hb Oklc Ltac Mcr 105% | $270 |
| Sunflower Health Plan Contracted [320369] | Hb Oklc Ambetter Exchange | $347 |
| Community Care Contracted [320080] | Hb Oklc Community Care State 150% | $386 |
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